Comprehensive Foot & Ankle, Sc | |
11128n State Highway 27/77, Northwoods Speciality Clinic, Hayward, WI 54843-5332 | |
(715) 634-9023 | |
(715) 634-9935 |
Full Name | Comprehensive Foot & Ankle, Sc |
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Type | Facility |
Speciality | Podiatrist |
Location | 11128n State Highway 27/77, Hayward, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346278959 | NPI | - | NPPES |
CG4176 | Other | WI | RAILROAD MEDICARE |
43269400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (Wisconsin) | Primary |
Provider Name | David C Larsen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1235125204 PECOS PAC ID: 1254237472 Enrollment ID: I20031209000802 |
Provider Name | Shannon S Meyer |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316933542 PECOS PAC ID: 4486550613 Enrollment ID: I20031209000837 |
Mailing Address | Practice Location Address |
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Comprehensive Foot & Ankle, Sc 11128n State Highway 27/77, Hayward, WI 54843-5332 Ph: (715) 634-9023 | Comprehensive Foot & Ankle, Sc 11128n State Highway 27/77, Northwoods Speciality Clinic, Hayward, WI 54843-5332 Ph: (715) 634-9023 |
Keith Richard Anderson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4321 | |
Dr. Tanya M. Barton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11128 N State Road 77, Hayward, WI 54843 Phone: 715-634-9023 Fax: 715-634-9935 |