Organization
FOOT AND ANKLE HEALTH CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL DEI DPM (PRESIDENT)
(414) 831-0512
Entity
Organization
Contact information
Practice address
17000 W NORTH AVE, SUITE 102E, BROOKFIELD, WI 53005-4423
(262) 821-3980
(262) 821-3441
Mailing address
7400 W RAWSON AVE, SUITE 231, FRANKLIN, WI 53132-8278
(414) 831-0512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
575-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43262700
—
WI
01
—
CC7747
MED RR
WI
Enumeration date
05/22/2006
Last updated
02/29/2008
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