Organization
FOOT & ANKLE HEALTH CENTER, S.C.
Active
Parent organization
FOOT & ANKLE HEALTH CENTER, S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT & ANKLE HEALTH CENTER, S.C.
Authorized official
DR. RANDALL L DEI DPM (PRESIDENT)
(414) 381-0512
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE, SUITE 402, SHOREWOOD, WI 53211-2265
(414) 332-6138
(414) 332-7348
Mailing address
7400 W RAWSON AVE, SUITE 231, FRANKLIN, WI 53132-8278
(414) 831-0512
(414) 321-2333
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
504-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43262700
—
WI
Enumeration date
08/27/2007
Last updated
02/29/2008
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