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Organization

WISCONSIN FOOT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW J MARSO DPM (OWNER)
(414) 425-8400
Entity
Organization

Contact information

Practice address
6130 S 108TH STREET, HALES CORNERS, WI 53130-2525
(414) 425-8400
(414) 425-8425
Mailing address
6130 S 108TH STREET, HALES CORNERS, WI 53130-2525
(414) 425-8400
(414) 425-8425

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
896-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DO9353
RAIL ROAD MEDICARE GROUP PTAN #
WI
Enumeration date
10/07/2008
Last updated
07/01/2019
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