Individual
RANDALL DEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7400 W RAWSON AVE, SUITE 231, FRANKLIN, WI 53132-8278
(414) 831-0512
(414) 321-2333
Mailing address
7400 W RAWSON AVE, SUITE 231, FRANKLIN, WI 53132-8278
(414) 831-0512
(414) 321-2333
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
504
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43212800
—
WI
Enumeration date
05/22/2006
Last updated
02/07/2008
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