Wausau Podiatry Center Ltd

NPI #1093963456 in Wausau, Wisconsin

Provider Information

NPI Number: 1093963456
Entity Type: Organization
Organization Name: Wausau Podiatry Center Ltd
Primary Specialty: Podiatrist
Enumeration Date: Aug 28, 2008
Last Updated: Aug 28, 2008

Practice Location

Address: 115 W BRIDGE ST
City: Wausau
State: Wisconsin
ZIP Code: 54401-2929
Phone: (715) 842-4288

Authorized Official

Name: DR. ANDERS V JUVONEN, DMP
Title: PRESIDENT/PODIATRIST
Phone: (715) 842-4288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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