person
James Robert Vavra, DPM
Foot & Ankle Surgery Podiatrist in Pewaukee, Wisconsin
NPI 1619969391

James Robert Vavra is a Foot & Ankle Surgery Podiatrist based in Pewaukee, WI and is specialized in Foot & Ankle Surgery. James Robert Vavra practices in Pewaukee, WI and has the professional credentials of DPM. The NPI Number for James Robert Vavra is 1619969391 and holds a License No. 696 (Wisconsin).

The current practice location address for James Robert Vavra is 2835 N Grandview Blvd Ste 300, Pewaukee, WI and can be reached out via phone at 262-542-3779 and via fax at 262-542-4428.

Location: 2835 N Grandview Blvd Ste 300, Pewaukee, WI, 53072-5591
person
Provider Profile Details
NPI Number
1619969391
Provider Name
James Robert Vavra
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2835 N Grandview Blvd Ste 300, Pewaukee, WI, 53072-5591
Phone Number
262-542-3779
Fax Number
262-542-4428
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43219700 05 WI
institution
Provider Business Practice Location Address Details
Address
2835 N Grandview Blvd Ste 300
City
State
Zip
53072-5591
Phone Number
262-542-3779
Fax Number
262-542-4428
person
Provider Business Mailing Address Details
Address
2835 N Grandview Blvd Ste 300
City
State
Zip
53072-5591
Phone Number
262-542-3779
Fax Number
262-542-4428
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
696 (Wisconsin)
Definition
Definition to come...
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