Rock River Foot & Ankle Clinic, Sc

NPI #1457493389 in Fort Atkinson, Wisconsin

Provider Information

NPI Number: 1457493389
Entity Type: Organization
Organization Name: Rock River Foot & Ankle Clinic, Sc
Subpart: Yes (part of a larger organization)
Parent Organization: ROCK RIVER FOOT & ANKLE CLINC, SC
Primary Specialty: Podiatrist
Enumeration Date: Feb 14, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 439 WHITEWATER AVE
City: Fort Atkinson
State: Wisconsin
ZIP Code: 53538-2255
Phone: (920) 563-2136

Authorized Official

Name: DR. VICTOR STEPHEN SODERSTROM, D.P.M.
Title: PRESIDENT
Phone: (920) 261-9610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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