Organization
LARRY J. WAPIENNIK, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J. WAPIENNIK D.P.M. (PRESIDENT)
(219) 663-7737
Entity
Organization
Contact information
Practice address
11406 BROADWAY, CROWN POINT, IN 46307-7106
(219) 663-7737
(219) 663-7733
Mailing address
11406 BROADWAY, CROWN POINT, IN 46307-7106
(219) 663-7737
(219) 663-7733
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000451A
IN
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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