|
| |
|
111 W Fulton St Edgerton WI 53534-1876 | |
| (608) 884-3441 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Podiatrist |
| Location | 111 W Fulton St, Edgerton, Wisconsin |
| Authorized Official Name and Position | Charles Roeder (CFO) |
| Authorized Official Contact | 6088843441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11101 N Sherman Rd Edgerton WI 53534-9002 Ph: (608) 884-3441 | 111 W Fulton St Edgerton WI 53534-1876 Ph: (608) 884-3441 |
| NPI Number | 1083310908 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083310908 | NPI | - | NPPES |
Edgerton Hospital And Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11101 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3441 | |
Seeds Of Change Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 821 George Ave Apt 4, Edgerton, WI 53534 Phone: 608-751-0203 |