Organization
ASSOCIATED FOOT & ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M SAGE DPM (CO OWNER PODIATRIST)
(608) 362-0758
Entity
Organization
Contact information
Practice address
2950 PRAIRIE AVENUE, 3, BELOIT, WI 53511-1899
(608) 362-0758
(608) 362-7310
Mailing address
2950 PRAIRIE AVENUE, 3, BELOIT, WI 53511-1899
(608) 362-0758
(608) 362-7310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43264700
—
WI
Enumeration date
07/01/2006
Last updated
08/22/2020
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