Organization
RAPIDS FOOT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRIC J HARDIMAN DPM (OWNER)
(715) 423-8637
Entity
Organization
Contact information
Practice address
311 8TH ST SO, WISCONSIN RAPIDS, WI 54494-4622
(715) 423-8637
(715) 424-2724
Mailing address
311 8TH ST SO, WISCONSIN RAPIDS, WI 54494-4622
(715) 423-8637
(715) 424-2724
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
678-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41737500
—
WI
05
—
43268800
—
WI
Enumeration date
06/12/2008
Last updated
11/09/2009
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