Organization
NATIONAL PEDORTHIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE S JANISSE (OPERATIONS MANAGER)
(414) 438-1216
Entity
Organization
Contact information
Practice address
2475 N 124TH ST, BROOKFIELD, WI 53005-4630
(262) 754-2440
(262) 754-2441
Mailing address
7283 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 438-1216
(414) 438-1051
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41770000
—
WI
Enumeration date
01/19/2006
Last updated
12/18/2012
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