Organization
NORTH SHORE PODIATRY, INC.
Active
Other names
Oak Creek Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD D GREENBAUM D.P.M. (PRESIDENT)
(414) 228-6444
Entity
Organization
Contact information
Practice address
8003 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-2647
(414) 228-6444
(414) 228-7005
Mailing address
8003 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-2647
(414) 228-6444
(414) 228-7005
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
658025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43214600
—
WI
Enumeration date
10/25/2006
Last updated
09/28/2007
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