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Podomedik Clinics
Foot & Ankle Surgery Podiatrist in Racine, Wisconsin
NPI 1578709184

Podomedik Clinics is a Foot & Ankle Surgery Podiatrist based in Racine, WI and is specialized in Foot & Ankle Surgery. Podomedik Clinics practices in Racine, WI. The NPI Number for Podomedik Clinics is 1578709184 and holds a License No. 911-025 (Wisconsin).

The current practice location address for Podomedik Clinics is 425 Shoreland Dr, Racine, WI and can be reached out via phone at 847-249-3888.

Location: 425 Shoreland Dr, Racine, WI, 53402-3829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578709184
Provider Name
Podomedik Clinics
Credential
Provider Entity Type
Organization
Address
425 Shoreland Dr, Racine, WI, 53402-3829
Phone Number
847-249-3888
Fax Number
Provider Enumeration Date
01/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000082039 01 WI MEDICARE PTAN
000082037 01 WI MEDICARE PTAN
215839 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
425 Shoreland Dr
City
Racine
State
Wisconsin
Zip
53402-3829
Phone Number
847-249-3888
Fax Number
person
Provider Business Mailing Address Details
Address
425 Shoreland Dr
City
Racine
State
Wisconsin
Zip
53402-3829
Phone Number
847-249-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
911-025 (Wisconsin)
Definition
Definition to come...
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