Organization
FOOT & ANKLE SPECIALISTS OF RACINE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW T LARSEN DPM (OWNER)
(262) 554-7004
Entity
Organization
Contact information
Practice address
3500 MEACHEM RD, RACINE, WI 53405-4662
(262) 554-7004
(262) 554-7004
Mailing address
3500 MEACHEM RD, RACINE, WI 53405-4662
(262) 554-7004
(262) 554-7004
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
775
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438857
DMERC REGION B
WV
01
—
480032991
RAILROAD MEDICARE
WI
Enumeration date
12/15/2005
Last updated
06/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us