Organization
NORTHLAND PODICARE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE MARIE KURTYKA (ADMINISTRATOR)
(715) 356-4255
Entity
Organization
Contact information
Practice address
9251 COUNTY RD J, MINOCQUA, WI 54548-9251
(715) 356-4255
(715) 358-6475
Mailing address
PO BOX 1577, WOODRUFF, WI 54568-1577
(715) 356-4255
(715) 358-6475
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
591-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43267500
—
WI
Enumeration date
02/13/2007
Last updated
08/22/2020
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