Organization
WISCONSIN NEUROPATHY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA R CERNAK DPM (OWNER)
(262) 697-4301
Entity
Organization
Contact information
Practice address
10105 74TH ST, SUITE 101, KENOSHA, WI 53142-7519
(262) 697-4301
(262) 925-8409
Mailing address
10105 74TH ST, SUITE 101, KENOSHA, WI 53142-7519
(262) 697-4301
(262) 925-8409
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
416025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31693500
—
WI
05
—
43206800
—
WI
05
—
43240700
—
WI
Enumeration date
11/29/2006
Last updated
03/31/2010
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