Individual
FATEMEH S JANNATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1045
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
17806-875
WI
Other
Enumeration date
07/19/2012
Last updated
03/17/2018
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