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Individual

DR. ERIC FRANCIS CAPORUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY, SUITE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
848
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201000224014
BLUE CROSS BLUE SHIELD
WI
01
26896
SECURITY HEALTH PLAN
WI
05
43233000
WI
01
HP60450
HEALTHPARTNERS
WI
Enumeration date
05/23/2005
Last updated
12/17/2021
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