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Organization

RAPIDS FOOT CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRIC J. HARDIMAN (PHYSICIAN/OWNER)
(715) 423-8637
Entity
Organization

Contact information

Practice address
311 8TH ST S, WISCONSIN RAPIDS, WI 54494-4622
(715) 423-8637
(715) 424-2724
Mailing address
311 8TH ST S, WISCONSIN RAPIDS, WI 54494-4622
(715) 423-8637
(715) 424-2724

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
678-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43218500
WI
Enumeration date
05/23/2007
Last updated
01/25/2010
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