Organization
CZARNECKI PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS NICHOLAS CZARNECKI JR. D.P.M. (PODIATRIST)
(262) 242-0095
Entity
Organization
Contact information
Practice address
11203 N BUNTROCK AVE, SUITE 103, MEQUON, WI 53092-1857
(262) 242-0095
(262) 242-0884
Mailing address
11203 N BUNTROCK AVE, SUITE 103, MEQUON, WI 53092-1857
(262) 242-0095
(262) 242-0884
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
025-519
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43268500
—
WI
Enumeration date
05/07/2007
Last updated
04/22/2008
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