Organization
WAUSAU PODIATRY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDERS V JUVONEN DMP (PRESIDENT/PODIATRIST)
(715) 842-4288
Entity
Organization
Contact information
Practice address
115 W BRIDGE ST, WAUSAU, WI 54401-2929
(715) 842-4288
(715) 842-2162
Mailing address
115 W BRIDGE ST, WAUSAU, WI 54401-2929
(715) 842-4288
(715) 842-2162
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
437
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43241200
—
WI
Enumeration date
08/28/2008
Last updated
08/28/2008
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