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Dr. Jason G De Vries, DPM
Podiatrist in Manitowoc, Wisconsin
NPI 1609028422

Jason G De Vries is a Podiatrist based in Green Bay, WI. Jason G De Vries practices in Manitowoc, WI and has the professional credentials of DPM. The NPI Number for Jason G De Vries is 1609028422 and holds a License No. 940-025 (Wisconsin).

The current practice location address for Jason G De Vries is 1111 Bayshore Dr, Manitowoc, WI and can be reached out via phone at 920-682-6376 and via fax at 920-652-0115.

Location: 1111 Bayshore Dr, Manitowoc, WI, 54311-8320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609028422
Provider Name
Jason G De Vries
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1111 Bayshore Dr, Manitowoc, WI, 54311-8320
Phone Number
920-682-6376
Fax Number
920-652-0115
Provider Enumeration Date
10/13/2008
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1111 Bayshore Dr
City
Manitowoc
State
Wisconsin
Zip
54220-5548
Phone Number
920-682-6376
Fax Number
920-652-0115
person
Provider Business Mailing Address Details
Address
1111 Bayshore Dr
City
Manitowoc
State
Wisconsin
Zip
54220-5548
Phone Number
920-682-6376
Fax Number
920-652-0115
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
940-25 (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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
940-025 (Wisconsin)
Definition
Definition to come...
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