Organization
NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY E ERDMAN DPM (OWNER (CEO))
(920) 882-9990
Entity
Organization
Contact information
Practice address
2005 S LAKE PARK RD, APPLETON, WI 54915-4155
(920) 882-9990
(920) 882-9544
Mailing address
2005 S LAKE PARK RD, APPLETON, WI 54915-4155
(920) 882-9990
(920) 882-9544
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
616-025
WI
Other
Enumeration date
05/07/2007
Last updated
09/13/2011
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