Healthdrive Podiatry Group, PC

NPI #1679504427 in Brookfield, Wisconsin

Provider Information

NPI Number: 1679504427
Entity Type: Organization
Organization Name: Healthdrive Podiatry Group, PC
Primary Specialty: Podiatrist
Enumeration Date: Jul 6, 2006
Last Updated: Apr 16, 2020

Practice Location

Address: 200 S EXECUTIVE DR
Address 2: SUITE 101
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4216
Phone: (414) 535-8134

Authorized Official

Name: DR. SHADI ADIB ABBOUD, DPM
Title: TREASURER/PRACTICE DIRECTOR
Phone: (857) 255-0486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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