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Wisconsin Visiting Podiatry
Foot & Ankle Surgery Podiatrist in Waterford, Wisconsin
NPI 1790158368

Wisconsin Visiting Podiatry is a Foot & Ankle Surgery Podiatrist based in Waterford, WI and is specialized in Foot & Ankle Surgery. Wisconsin Visiting Podiatry practices in Waterford, WI. The NPI Number for Wisconsin Visiting Podiatry is 1790158368 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Visiting Podiatry is 28606 Sandpiper Trl, Waterford, WI and can be reached out via phone at 224-234-7304.

Location: 28606 Sandpiper Trl, Waterford, WI, 53185-0187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790158368
Provider Name
Wisconsin Visiting Podiatry
Credential
Provider Entity Type
Organization
Address
28606 Sandpiper Trl, Waterford, WI, 53185-0187
Phone Number
224-234-7304
Fax Number
Provider Enumeration Date
11/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43221600 05 WI
institution
Provider Business Practice Location Address Details
Address
28606 Sandpiper Trl
City
Waterford
State
Wisconsin
Zip
53185-1733
Phone Number
224-234-7304
Fax Number
person
Provider Business Mailing Address Details
Address
28606 Sandpiper Trl
City
Waterford
State
Wisconsin
Zip
53185-1733
Phone Number
224-234-7304
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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