Organization
FOOT & ANKLE SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY S. PAUERS D.P.M. (OWNER)
(414) 258-8945
Entity
Organization
Contact information
Practice address
7423 W GREENFIELD AVE, WEST ALLIS, WI 53214-4614
(414) 258-8945
(414) 258-7712
Mailing address
7423 W GREENFIELD AVE, WEST ALLIS, WI 53214-4614
(414) 258-8945
(414) 258-7712
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43266900
—
WI
Enumeration date
03/02/2006
Last updated
05/11/2010
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