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Organization

DOUGLAS L KINCAID DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY BETH MUELLER (OFFICE MANAGAER)
(414) 282-7209
Entity
Organization

Contact information

Practice address
6186 W LAYTON AVE, GREENFIELD, WI 53220-4608
(414) 282-7209
(414) 282-9948
Mailing address
6186 W LAYTON AVE, GREENFIELD, WI 53220-4608
(414) 282-7209
(414) 282-9948

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
399
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43207700
WI
05
43211100
WI
Enumeration date
05/09/2007
Last updated
02/19/2013
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