Organization
FAMILY FOOT AND ANKLE CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIRK SAUL HALVERSON DPM (PRESIDENT)
(920) 733-5345
Entity
Organization
Contact information
Practice address
436 E LONGVIEW DR, SUITE A, APPLETON, WI 54911-2166
(920) 733-5345
(920) 733-1390
Mailing address
436 E LONGVIEW DR, SUITE A, APPLETON, WI 54911-2166
(920) 733-5345
(920) 733-1390
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
877
WI
Other
Enumeration date
11/28/2006
Last updated
04/07/2008
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