Organization
FOX RIVER PEDORTHICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG G SCHMALFELDT CPED (OWNER)
(262) 210-5254
Entity
Organization
Contact information
Practice address
222B N MILWAUKEE ST, WATERFORD, WI 53185-4312
(262) 210-5254
Mailing address
222B N MILWAUKEE ST, WATERFORD, WI 53185-4312
(262) 210-5254
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
04/05/2010
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