Dr Christopher James Dietzman, DPM | |
1050 Milwaukee Ave Ste 102, Burlington, WI 53105-1380 | |
(262) 763-9007 | |
Not Available |
Full Name | Dr Christopher James Dietzman |
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Gender | Male |
Speciality | Podiatrist |
Location | 1050 Milwaukee Ave Ste 102, Burlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679172027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 1316-25 (Wisconsin) | Primary |
Provider Name | Advanced Foot & Ankle Of Wisconsin Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679608392 PECOS PAC ID: 0547367344 Enrollment ID: O20070511000463 |
Mailing Address | Practice Location Address |
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Dr Christopher James Dietzman, DPM 1050 Milwaukee Ave Ste 102, Burlington, WI 53105-1380 Ph: (262) 763-9007 | Dr Christopher James Dietzman, DPM 1050 Milwaukee Ave Ste 102, Burlington, WI 53105-1380 Ph: (262) 763-9007 |
Gerald R Schneider, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 767-767-8261 | |
Dr. Jonathan H Hilton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4020 Buena Park Rd, Burlington, WI 53105 Phone: 414-963-0816 | |
Kevin Douglas Liberty, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-767-6020 |