Organization
PODIATRY CENTER PC
Active
Other names
THE PODIATRY CENTER PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN R WILENSKY DPM (PODIATRIST)
(804) 262-7153
Entity
Organization
Contact information
Practice address
7406 BROOK RD, RICHMOND, VA 23227-1817
(804) 262-7153
(804) 262-0104
Mailing address
7406 BROOK RD, RICHMOND, VA 23227-1817
(804) 262-7153
(804) 262-0104
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000938
VA
Other
Enumeration date
09/26/2007
Last updated
08/02/2012
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