| Glenn F Devries | |
|
1001 W Main St, Waupun, WI 53963-1601 | |
| (920) 324-9301 | |
| (920) 324-9473 |
| Full Name | Glenn F Devries |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1001 W Main St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861577876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 467 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn F Devries 1001 W Main St, Waupun, WI 53963-1601 Ph: (920) 324-9301 | Glenn F Devries 1001 W Main St, Waupun, WI 53963-1601 Ph: (920) 324-9301 |
Sarika J Parikh Bertram, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-926-8282 | |
Dr. Ryan Thomas Mackey, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1001 W Main St, Waupun, WI 53963 Phone: 920-361-3063 Fax: 920-361-7317 |