Lake Country Foot & Ankle Sc

NPI #1245590017 in Pewaukee, Wisconsin

Provider Information

NPI Number
1245590017
Entity Type
Organization
Organization Name
Lake Country Foot & Ankle Sc
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
May 25, 2012
Last Updated
May 25, 2012

Practice Location

Address
1177 QUAIL CT STE 103
ZIP Code
53072-3768
Phone
(262) 695-6440

Authorized Official

Name
DR. ETHAN DANIEL MEYER, DPM
Title
PRESIDENT
Phone
(262) 695-6440

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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