Healthdrive Podiatry Group, PC
NPI #1811087158 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1811087158
- Entity Type
- Organization
- Organization Name
- Healthdrive Podiatry Group, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HEALTHDRIVE PODIATRY GROUP, PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Jan 2, 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
- TREASUER/PRACTICE DIRECTOR
- Phone
- (857) 255-0486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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