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Organization
FAMILY FOOT CLINICS OF WISCONSIN SC
Active
Organization
FAMILY FOOT CLINICS OF WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA K STEPHENSON DPM (PRESIDENT)
(262) 637-8806
Entity
Organization
Contact information
Practice address
5802 WASHINGTON AVE, SUITE 103, RACINE, WI 53406-4050
(262) 637-8806
(262) 637-2868
Mailing address
3535 30TH AVE, SUITE 203, KENOSHA, WI 53144-1632
(262) 657-6104
(262) 657-6104
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
02/10/2012
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