Provider First Line Business Practice Location Address:
1445 MERRILL AVE
Provider Second Line Business Practice Location Address:
PODIATRY ASSOCIATES OF WAUSAU, S.C.
Provider Business Practice Location Address City Name:
WAUSAU
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54401-2646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-675-2321
Provider Business Practice Location Address Fax Number:
715-675-6530
Provider Enumeration Date:
09/12/2005