Family Foot Clinic, Sc
NPI #1063515526 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1063515526
- Entity Type
- Organization
- Organization Name
- Family Foot Clinic, Sc
- Primary Specialty
- Podiatrist
- Enumeration Date
- Sep 7, 2006
- Last Updated
- May 21, 2010
Practice Location
- Address
- 21 S MARR ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4334
- Phone
- (920) 921-1669
Authorized Official
- Name
- DR. IAN CHARLES FURNESS, DPM
- Title
- PRESIDENT
- Phone
- (920) 921-1669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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