Organization
GLENN F DEVRIES
Active
Other names
DEVRIES FOOT CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN F DEVRIES DPM (OWNER)
(920) 324-9301
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, WAUPUN, WI 53963-1601
(920) 324-9301
(920) 324-9473
Mailing address
1001 W MAIN ST, WAUPUN, WI 53963-1601
(920) 324-9301
(920) 324-9473
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
467
WI
Other
Enumeration date
10/26/2006
Last updated
10/21/2008
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