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Organization
ROCK RIVER FOOT AND ANKLE CLINIC SC
Active
Organization
ROCK RIVER FOOT AND ANKLE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE KREIGHBAUM (REGIONAL CREDENTIALING SPECIALIST)
(314) 909-1920
Entity
Organization
Contact information
Practice address
422 SUMMIT AVE, OCONOMOWOC, WI 53066-3749
(262) 490-4568
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(866) 626-1540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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