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Individual

MICHAEL W FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4131 W LOOMIS RD, STE 200, MILWAUKEE, WI 53221-2051
(414) 281-5151
Mailing address
4131 W LOOMIS RD, STE 200, MILWAUKEE, WI 53221-2051
(414) 281-5151

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10460
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390806181
WI
Enumeration date
06/06/2007
Last updated
11/30/2023
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