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Organization

NATIONAL PEDORTHIC SERVICES, INC.

Active
Parent organization
NATIONAL PEDORTHIC SERVICES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL PEDORTHIC SERVICES, INC.
Authorized official
NICOLE JANISSE (OPERATIONS MANAGER)
(414) 438-1216
Entity
Organization

Contact information

Practice address
2745 W LAYTON AVE, SUITE 103, MILWAUKEE, WI 53221-2651
(414) 282-8888
(414) 282-8188
Mailing address
7283 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 438-1216

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41792900
WI
Enumeration date
08/19/2006
Last updated
12/18/2012
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