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Organization

R FLIPPIN SC

Active
Other names
URBAN FOOT CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA FLIPPIN DPM (PRESIDENT)
(414) 444-9242
Entity
Organization

Contact information

Practice address
3915 W CAPITOL DR, MILWAUKEE, WI 53216-2528
(414) 444-9242
(414) 444-9252
Mailing address
PO BOX 16557, MILWAUKEE, WI 53216-0557
(414) 444-9242
(414) 444-9252

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09932334
BLUE CROSS BLUE SHIELD
IL
05
43241000
WI
05
43269500
WI
01
5602619
MEDICAID HMO
WI
01
DG2799
RAILROAD MEDICARE
WI
Enumeration date
07/05/2006
Last updated
01/26/2011
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