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Organization
R FLIPPIN SC
Active
Organization
R FLIPPIN SC
Active
Other names
URBAN FOOT CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA FLIPPIN DPM (PRESIDENT)
(414) 444-9242
Entity
Organization
Contact information
Practice address
3915 W CAPITOL DR, MILWAUKEE, WI 53216-2528
(414) 444-9242
(414) 444-9252
Mailing address
PO BOX 16557, MILWAUKEE, WI 53216-0557
(414) 444-9242
(414) 444-9252
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932334
BLUE CROSS BLUE SHIELD
IL
05
—
43241000
—
WI
05
—
43269500
—
WI
01
—
5602619
MEDICAID HMO
WI
01
—
DG2799
RAILROAD MEDICARE
WI
Enumeration date
07/05/2006
Last updated
01/26/2011
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