Rock River Foot & Ankle Clinic, Sc in Watertown - Foot & Ankle Surgery

Rock River Foot & Ankle Clinic, Sc - NPI 1578605408

Rock River Foot & Ankle Clinic, Sc is a Foot & Ankle Surgery in Watertown, Wisconsin. Rock River Foot & Ankle Clinic, Sc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Rock River Foot & Ankle Clinic, Sc is 1578605408. The last update date is 2007-11-01.

Rock River Foot & Ankle Clinic, Sc's current location address is 101 Oakridge Ct, Watertown, Wisconsin. You can contact this provider via phone number 9202619610 and fax number 9202619671. The mailing address for Rock River Foot & Ankle Clinic, Sc is 101 Oakridge Ct, Watertown, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rock River Foot & Ankle Clinic, Sc
Address 101 Oakridge Ct, Watertown, Wisconsin
Phone Number 9202619610
Fax Number 9202619671
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Soderstrom Stephen Victor
Credentials D.P.M.
Telephone Number 9202619610

NPI Number Detail

NPI Number 1578605408
Provider Enumeration Date 2007-02-14
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 101 Oakridge Ct
City Watertown
State Wisconsin (WI)
Post Code 530944100
Phone Number 9202619610
Fax Number 9202619671

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43264800 WI --

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FAQs about Rock River Foot & Ankle Clinic, Sc

What is the unique 10-digit identification code issued to Rock River Foot & Ankle Clinic, Sc by the Centers for Medicare & Medicaid Services?

The Rock River Foot & Ankle Clinic, Sc has been assigned the NPI (National Provider Identifier) 1578605408 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Rock River Foot & Ankle Clinic, Sc is physically located?

The Rock River Foot & Ankle Clinic, Sc is situated at the following address: 101 Oakridge Ct, Watertown, WI 530944100.

What is Rock River Foot & Ankle Clinic, Sc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rock River Foot & Ankle Clinic, Sc is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.

On what date did the Rock River Foot & Ankle Clinic, Sc receive its 1578605408 assignment from the Centers for Medicare & Medicaid Services?

The Rock River Foot & Ankle Clinic, Sc was assigned its 1578605408 by the Centers for Medicare & Medicaid Services on 2007-02-14.

When was the information regarding Rock River Foot & Ankle Clinic, Sc most recently updated?

The details pertaining to the Rock River Foot & Ankle Clinic, Sc, including its address, specialty, and other relevant information, were last refreshed on 2007-11-01.

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