Visiting Podiatry Pllc

NPI #1457789042 in West Allis, Wisconsin

Provider Information

NPI Number: 1457789042
Entity Type: Organization
Organization Name: Visiting Podiatry Pllc
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Enumeration Date: Oct 17, 2013
Last Updated: Oct 17, 2013

Practice Location

Address: 2514 S 102ND ST
Address 2: SUITE 160B
City: West Allis
State: Wisconsin
ZIP Code: 53227-2142
Phone: (414) 255-0290

Authorized Official

Name: DR. LYNN A. BEATTY, MD
Title: OWNER
Phone: (248) 824-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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