Organization
GLENN F DEVRIES
Active
Other names
BERLIN FAMILY FOOT CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN F DEVRIES DPM (OWNER)
(920) 361-3036
Entity
Organization
Contact information
Practice address
322 BROADWAY ST, BERLIN, WI 54923-1706
(920) 361-3036
(920) 361-7317
Mailing address
322 BROADWAY ST, BERLIN, WI 54923-1706
(920) 361-3036
(920) 361-7317
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
467
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/02/2006
Last updated
02/17/2009
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