Glenn F Devries
Organization Active NPI Foot & Ankle Surgery Podiatrist · Berlin, WI
NPI 1821176124 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1821176124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 467 (WI)
- Legal business name
- GLENN F DEVRIES
- Practice address
- 322 Broadway St
Berlin, WI 54923-1706 - Phone
- (920) 361-3036
- Fax
- (920) 361-7317
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Glenn F Devries, DPM
- Title
- Owner
- Phone
- (920) 361-3036
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 467 | WI | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
322 Broadway St
Berlin, WI 54923-1706
Mailing address
322 Broadway St
Berlin, WI 54923-1706
Phone (920) 361-3036
Other names
- BERLIN FAMILY FOOT CARE CLINIC
Other providers in Berlin, WI
- Fox Valley Hematology & Oncology, S.C.
- Julie R Fredrick
- Garner Anesthesia Services LLC
- Robert B. Geller
- Micheal Dean Gerber
- Susan Marie Good
- Kirsten Elizabeth Grove
- Dawn Lynn Groves
- Mary F. Guell
- Susan P Hable
All providers in Berlin, WI · Foot & Ankle Surgery Podiatrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. 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.