Individual
GLENN F. DEVRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
680 E FOND DU LAC ST, RIPON, WI 54971-9500
(920) 748-3009
(920) 748-3109
Mailing address
680 E FOND DU LAC ST, RIPON, WI 54971-9500
(920) 748-3009
(920) 748-3109
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
467
WI
Other
Enumeration date
12/15/2005
Last updated
08/17/2009
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