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Organization

GREAT MIDWEST FOOT AND ANKLE CENTERS, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT DONALD MATTEUCCI D.P.M. (PRESIDENT)
(414) 761-1613
Entity
Organization

Contact information

Practice address
320 W BROWN DEER RD, BAYSIDE, WI 53217-2319
(414) 761-0981
(414) 761-1614
Mailing address
8153 S 27TH ST, 400, FRANKLIN, WI 53132-9549
(414) 761-0981
(414) 761-1614

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43237400
WI
Enumeration date
07/27/2011
Last updated
01/12/2025
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