Organization · Type 2 NPI

Glenn F Devries

Foot & Ankle Surgery Podiatrist · Waupun, WI

NPI number 1861577876 Active

Practice location

1001 W Main St
Waupun, WI 53963-1601

Fax (920) 324-9473

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X467 (WI)

Foot & Ankle Surgery Podiatrist: Definition to come...

3 other providers at this address

About NPI 1861577876

Glenn F Devries's National Provider Identifier is 1861577876, issued on Oct 26, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waupun, WI. The record was last updated on Oct 21, 2008.