NPI 1457337024

Foot & Ankle Specialists of Racine, S.C.

Organisation Podiatrist Racine, WI

Practice location

Address: 3500 Meachem Rd, Racine, WI 53405-4662
Phone: (262) 554-7004
Fax: (262) 554-7004

Authorised official

Name: Matthew T Larsen
Title: Owner
Phone: (262) 554-7004

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 775 (WI)

Other Podiatrist providers in Wisconsin →

Registry record

NPI: 1457337024
Entity type: Organization
NPI issued: 15 Dec 2005
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.