Organization · Type 2 NPI
Plaza Podiatry Associates LLC
Foot & Ankle Surgery Podiatrist · Waupaca, WI
NPI number
1346379203
Active
Practice location
1439 Churchill St, Suite 202
Waupaca, WI 54981-2089
Fax (715) 258-5249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1346379203
Plaza Podiatry Associates LLC's National Provider Identifier is 1346379203, issued on Mar 5, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waupaca, WI. The record was last updated on Apr 20, 2008.