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Organization
FOOT AND ANKLE HEALTH CENTER, S.C.
Active
Organization
FOOT AND ANKLE HEALTH CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL DEI DPM (PRESIDENT)
(414) 831-0512
Entity
Organization
Contact information
Practice address
17000 W NORTH AVE, SUITE 102E, BROOKFIELD, WI 53005-4423
(262) 821-3980
(262) 821-3441
Mailing address
7400 W RAWSON AVE, SUITE 231, FRANKLIN, WI 53132-8278
(414) 831-0512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
575-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43262700
—
WI
01
—
CC7747
MED RR
WI
Enumeration date
05/22/2006
Last updated
02/29/2008
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