Organization
CZARNECKI PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NICHOLAS CZARNECKI JR. D.P.M. (PODIATRIST)
(262) 673-7779
Entity
Organization
Contact information
Practice address
940 BELL AVE, SUITE A, HARTFORD, WI 53027-2913
(262) 673-7779
(262) 673-5484
Mailing address
940 BELL AVE, SUITE A, HARTFORD, WI 53027-2913
(262) 673-7779
(262) 673-5484
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
025-519
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43268400
—
WI
Enumeration date
05/03/2007
Last updated
04/22/2008
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