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Contact Information

MAYFAIR FOOT CARE CLINIC S.C.
10125 W NORTH AVE
WAUWATOSA, WI53226
 Phone: 414-257-0676
 Fax: 414-774-2588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MAYFAIR FOOT CARE CLINIC SC · (Female)

NPI Number 1851466940
Status Active
Credentials
Entity Individual
Enumeration date 11/22/2006
Last updated 02/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 43215200
  • WI Other CG2330 RR GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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