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Organization
PLAZA PODIATRY ASSOCIATES LLC
Active
Organization
PLAZA PODIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRIAN QUINN DPM (OWNER)
(715) 258-5210
Entity
Organization
Contact information
Practice address
1439 CHURCHILL ST, SUITE 202, WAUPACA, WI 54981-2089
(715) 258-5210
(715) 258-5249
Mailing address
1439 CHURCHILL ST, SUITE 202, WAUPACA, WI 54981-2089
(715) 258-5210
(715) 258-5249
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43204800
—
WI
05
—
43239300
—
WI
Enumeration date
03/05/2007
Last updated
04/20/2008
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