Organization
ROCK RIVER FOOT AND ANKLE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE KREIGHBAUM (REGIONAL CREDENTIALING SPECIALIST)
(314) 909-1920
Entity
Organization
Contact information
Practice address
303 HAKE ST, FORT ATKINSON, WI 53538-1212
(920) 563-2136
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(866) 626-1540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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