Organization
MAYFAIR FOOT CARE CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J MILKIE DPM (OWNER)
(414) 257-0676
Entity
Organization
Contact information
Practice address
10125 W NORTH AVE, WAUWATOSA, WI 53226
(414) 257-0676
(414) 774-2588
Mailing address
10125 W NORTH AVE, WAUWATOSA, WI 53226
(414) 257-0676
(414) 774-2588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43215200
—
WI
01
—
CG2330
RR GROUP #
WI
Enumeration date
11/22/2006
Last updated
02/22/2008
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