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Organization
LOUISVILLE FOOT AND ANKLE ASSOCIATES, PLLC
Active
Organization
LOUISVILLE FOOT AND ANKLE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER B. WIETING DPM (OWNER)
(502) 897-7770
Entity
Organization
Contact information
Practice address
3991 DUTCHMANS LN, SUITE 303, LOUISVILLE, KY 40207-4700
(502) 897-7770
(502) 897-7776
Mailing address
3991 DUTCHMANS LN, SUITE 303, LOUISVILLE, KY 40207-4700
(502) 897-7770
(502) 897-7776
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
W00253
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80002520
—
KY
05
—
80002538
—
KY
Enumeration date
05/22/2007
Last updated
09/10/2010
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