NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC
Ambulatory Health at Lake Park Rd, Appleton, WI

License number
Wisconsin 616-025
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. BARRY E ERDMAN DPM
Title: OWNER (CEO)
Phone: (920) 882-9990
Address
Address
2005 S Lake Park Rd, Appleton, WI 54915
National Provider ID: 1184837353
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH SHORE FOOT & ANKLE SURGERY CENTER, LLC

2005 S Lk Park Rd, Appleton, WI 54915

Status:
Inactive
Registration:
Sep 9, 2003
State ID:
N030601
Business type:
Domestic Limited Liability Company

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