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Wolf River Family Footcare Pllc

NPI #1457480683 in Bartlett, Tennessee

Provider Information

NPI Number
1457480683
Entity Type
Organization
Organization Name
Wolf River Family Footcare Pllc
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Mar 5, 2007
Last Updated
Jun 5, 2008

Practice Location

Address
7424 US HIGHWAY 64
Address 2
SUITE 119
City
Bartlett
State
Tennessee
ZIP Code
38133-3986
Phone
(901) 381-2800

Authorized Official

Name
DR. CARL JOSEPH SICILIANO, D.P.M.
Title
OWNER SOLE MEMBER
Phone
(901) 381-2800

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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