Northeast Wisconsin Foot and Ankle Assoc., S.c.

NPI #1891291167 in Berlin, Wisconsin

Provider Information

NPI Number: 1891291167
Entity Type: Organization
Organization Name: Northeast Wisconsin Foot and Ankle Assoc., S.c.
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHEAST WISCONSIN FOOT & ANKLE ASSOC., S.C.
Primary Specialty: Podiatrist
Enumeration Date: Apr 4, 2018
Last Updated: Apr 4, 2018

Practice Location

Address: 225 MEMORIAL DR
City: Berlin
State: Wisconsin
ZIP Code: 54923-1243
Phone: (920) 361-6285

Authorized Official

Name: MARILOU SCHNADERBECK
Title: BUSINESS MANAGER
Phone: (920) 702-5484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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