Organization Name: | A STEP AHEAD FOOT CARE, S.C. |
NPI Number: | 1003014291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY L. MILLER-GUHL (PODIATRIST- VICE-PRESIDENT OF CORP.) |
Mailing Address: | 2120 E Moreland Blvd Suite C Waukesha |
State: | WI US |
Postal Code: | 531864038 |
Phone Number: | 2625440700 |
Fax Number: | 2625449017 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 08/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 850-025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |