Port Washington Podiatry Inc

NPI 1013953926 - Podiatrist - 213E00000X

NPI Details
NPI 1013953926
Enumeration Date 06/20/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY JOSEPH JEFFREY
Position PRESIDENT
Phone (262) 284-8800
Fax (262) 284-8861
Practice Location
1317 W GRAND AVENUE
PORT WASHINGTON PODIATRY
PORT WASHINGTON WI, 53074, US
Phone (262) 284-8800
Fax (262) 284-8861
Business Location
2132 WILLOW POND WAY
GRAFTON WI, 53024-9102, US
Phone (262) 284-8800
Fax (262) 284-8861
Toxanomy
Taxonomy Code 213E00000X
License State Wisconsin
License Number 798025
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According to our database, Port Washington Podiatry Inc NPI is 1013953926, taxonomy code is 213E00000X and license number is 798025, license state is located at Wisconsin. Port Washington Podiatry Inc physically located at 1317 W Grand Avenue, Port Washington WI, 53074. NPI Number 1033115704 has the healthcare provider type.

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1013953926 NPI number is provided on an as is basis without warranty of any kind. 1013953926 is maintained by the National Plan & Provider Enumeration System. The contents of Port Washington Podiatry Inc are for informational purposes only.