Organization
PODIATRY ASSOCIATES OF WAUSAU, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. JOURDAN D.P.M. (PRESIDENT)
(715) 675-2321
Entity
Organization
Contact information
Practice address
5409 VERN HOLMES DR, STEVENS POINT, WI 54481
(800) 246-3338
Mailing address
1445 MERRILL AVE, WAUSAU, WI 54401-2646
(715) 675-2321
(715) 675-6530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
03/30/2010
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