Organization
ALLIANCE FOOT & ANKLE CLINICS LLC
Active
Other names
Alliance Foot & Ankle Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVELISSE VARGAS JON DPM (OWNER)
(908) 768-8584
Entity
Organization
Contact information
Practice address
6510 W LAYTON AVE, GREENFIELD, WI 53220-4563
(414) 282-7209
(414) 282-9948
Mailing address
6510 W LAYTON AVE, GREENFIELD, WI 53220-4563
(414) 282-7209
(414) 282-9948
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1026-25
WI
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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