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Dr. Jason K. Boudreau, DPM
Podiatrist in Milwaukee, Wisconsin
NPI 1518959378

Jason K. Boudreau is a Podiatrist based in Glendale, WI. Jason K. Boudreau practices in Milwaukee, WI and has the professional credentials of DPM. The NPI Number for Jason K. Boudreau is 1518959378 and holds a License No. 803-025 (Wisconsin).

The current practice location address for Jason K. Boudreau is 2311 N Prospect Ave, Milwaukee, WI and can be reached out via phone at 414-319-3000.

Location: 2311 N Prospect Ave, Milwaukee, WI, 53212-1082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518959378
Provider Name
Jason K. Boudreau
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2311 N Prospect Ave, Milwaukee, WI, 53212-1082
Phone Number
414-319-3000
Fax Number
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43231600 05 WI
institution
Provider Business Practice Location Address Details
Address
2311 N Prospect Ave
City
Milwaukee
State
Wisconsin
Zip
53211-4445
Phone Number
414-319-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2311 N Prospect Ave
City
Milwaukee
State
Wisconsin
Zip
53211-4445
Phone Number
414-319-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
803-025 (Wisconsin)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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