Fox River Pedorthics, LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Waterford, WI
NPI 1356571509 · NPPES record last updated Apr 5, 2010
Key facts
- NPI
- 1356571509
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- FOX RIVER PEDORTHICS, LLC
- Practice address
- 222B N Milwaukee St
Waterford, WI 53185-4312 - Phone
- (262) 210-5254
- NPI assigned
- Jul 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Greg G Schmalfeldt, CPED
- Title
- Owner
- Phone
- (262) 210-5254
National Provider Directory
Locations
222B N Milwaukee St
Waterford, WI 53185
Phone (262) 210-5254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
222B N Milwaukee St
Waterford, WI 53185-4312
Mailing address
222B N Milwaukee St
Waterford, WI 53185-4312
Phone (262) 210-5254
Other providers in Waterford, WI
- Lynn Ellen Erickson-Meier
- Eye Wisconsin LLC
- Matthew Ferlindes
- Shelley Flasch
- Fluegge Optical
- Christine Fregien
- Tara Frost
- Megan Funk
- Jenny R Geiger-Putra
- Daniel Mark Gifford
All providers in Waterford, WI · Prosthetic/Orthotic Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.