Organization
MCIVER FOOT CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN K MCIVER DPM (OWNER)
(414) 344-6788
Entity
Organization
Contact information
Practice address
7903 WEST CAPITOL DRIVE, MILWAUKEE, WI 53222-1903
(414) 344-6788
(414) 344-6843
Mailing address
PO BOX 1466, BROOKFIELD, WI 53008-1466
(262) 788-9229
(262) 788-9241
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43265100
—
WI
Enumeration date
02/14/2007
Last updated
12/16/2016
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