Organization
FAMILY PODIATRY CENTERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERLE ANN FLYNN (VICE PRESIDENT)
(262) 781-7117
Entity
Organization
Contact information
Practice address
17495 W. CAPITAL DRIVE, BROOKFIELD, WI 53045
(262) 781-7117
(262) 781-1976
Mailing address
17495 W. CAPITAL DRIVE, BROOKFIELD, WI 53045
(262) 781-7117
(262) 781-1976
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
521
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43202600
—
WI
Enumeration date
08/30/2006
Last updated
08/22/2020
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