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BAY AREA FOOT CLINIC
Surgery, Foot & Ankle

NPI Profile for BAY AREA FOOT CLINIC in GREEN BAY, WI.

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Contact Information

BAY AREA FOOT CLINIC
2295 W MASON ST
GREEN BAY, WI  54303-4706
 Phone: 920-498-2226
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BAY AREA FOOT CLINIC · (Female)

NPI Number 1659551083
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2007
Last updated 07/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Other 41732500 MEDICAID DME
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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