Whitefish Bay Foot & Ankle Clinc, LLC
NPI #1003909847 in Whitefish Bay, Wisconsin
Provider Information
- NPI Number
- 1003909847
- Entity Type
- Organization
- Organization Name
- Whitefish Bay Foot & Ankle Clinc, LLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Mar 10, 2008
Practice Location
- Address
- 155 E SILVER SPRING DR STE 205
- City
- Whitefish Bay
- State
- Wisconsin
- ZIP Code
- 53217-4704
- Phone
- (414) 967-1900
Authorized Official
- Name
- JASON BOUDREAU, DP
- Title
- PODIATRIST / OWNER
- Phone
- (414) 967-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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