| |
322 Broadway St, Berlin, WI 54923-1706 | |
(920) 361-3036 | |
(920) 361-7317 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 322 Broadway St, Berlin, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821176124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 467 (Wisconsin) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
322 Broadway St, Berlin, WI 54923-1706 Ph: (920) 361-3036 | 322 Broadway St, Berlin, WI 54923-1706 Ph: (920) 361-3036 |
Northeast Wisconsin Foot And Ankle Assoc., S.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-6285 Fax: 920-361-5335 |