Peninsula Podiatry LLC
NPI #1255425088 in Sturgeon Bay, Wisconsin
Provider Information
- NPI Number
- 1255425088
- Entity Type
- Organization
- Organization Name
- Peninsula Podiatry LLC
- Primary Specialty
- Podiatrist
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Feb 5, 2008
Practice Location
- Address
- BLDG 4 2
- Address 2
- 30 NORTH 18TH AVENUE
- City
- Sturgeon Bay
- State
- Wisconsin
- ZIP Code
- 54235-3207
- Phone
- (920) 743-6668
Authorized Official
- Name
- BRADLEY GERARD BURKART, DPM
- Title
- MANAGING PARTNER
- Phone
- (920) 743-6668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Podiatrist |
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