Individual
DENNIS JANISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
2475 N 124TH ST, BROOKFIELD, WI 53005-4630
(262) 754-2440
Mailing address
2475 N 124TH ST, BROOKFIELD, WI 53005-4630
(262) 754-2440
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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