Organization · Type 2 NPI

Mark P Hastings, Dpm, SC

Podiatric Clinic/Center · Milwaukee, WI

NPI number 1295837425 Active

Practice location

3431 N 51st Blvd
Milwaukee, WI 53216-3228

Fax (262) 255-4090

Mailing address

N86W16462 Jacobson Dr
Menomonee Falls, WI 53051-2833

Specialties and licenses

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100XNone listed

Podiatric Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1295837425

Mark P Hastings, Dpm, SC's National Provider Identifier is 1295837425, issued on Sep 1, 2006. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 15, 2009.