| James C. Boudreau, Dpm, Sc | |
|
6191 S. 108th St., Hales Corners, WI 53130 | |
| (414) 425-5140 | |
| (414) 425-7960 |
| Full Name | James C. Boudreau, Dpm, Sc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6191 S. 108th St., Hales Corners, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528074309 | NPI | - | NPPES |
| 43260100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 349025 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James C. Boudreau, Dpm, Sc 6191 S. 108th St., Hales Corners, WI 53130 Ph: (414) 425-5140 | James C. Boudreau, Dpm, Sc 6191 S. 108th St., Hales Corners, WI 53130 Ph: (414) 425-5140 |
Wisconsin Foot Center, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6130 S 108th Street, Hales Corners, WI 53130 Phone: 414-425-8400 Fax: 414-425-8425 | |
Dr. Theodore M. Ludwig, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6191 S 108th St, Hales Corners, WI 53130 Phone: 414-425-5140 Fax: 414-425-7960 | |
Dr. Andrew J Marso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6130 S 108th Street, Hales Corners, WI 53130 Phone: 414-425-8400 Fax: 414-425-8425 |