Organization
GLENN F DEVRIES
Active
Other names
RIPON FOOT CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN F DEVRIES DPM (OWNER)
(920) 748-3009
Entity
Organization
Contact information
Practice address
680 E FOND DU LAC ST, RIPON, WI 54971-9500
(920) 748-3009
(920) 748-3109
Mailing address
680 E FOND DU LAC ST, RIPON, WI 54971-9500
(920) 748-3009
(920) 748-3109
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
467
WI
Other
Enumeration date
11/02/2006
Last updated
08/17/2009
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