| Dr Christopher James Dietzman, DPM | |
|
1050 Milwaukee Ave Ste 102, Burlington, WI 53105-1380 | |
| (262) 763-9007 | |
| Not Available |
| Full Name | Dr Christopher James Dietzman |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 1050 Milwaukee Ave Ste 102, Burlington, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679172027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 1316-25 (Wisconsin) | Primary |
| Provider Name | Door County Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093743874 PECOS PAC ID: 5395735088 Enrollment ID: O20040514000588 |
| Provider Name | Advanced Foot & Ankle Of Wisconsin Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679608392 PECOS PAC ID: 0547367344 Enrollment ID: O20070511000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher James Dietzman, DPM 1050 Milwaukee Ave Ste 102, Burlington, WI 53105-1380 Ph: (262) 763-9007 | Dr Christopher James Dietzman, DPM 1050 Milwaukee Ave Ste 102, Burlington, WI 53105-1380 Ph: (262) 763-9007 |
Gerald R Schneider, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 767-767-8261 | |
Dr. Jonathan H Hilton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4020 Buena Park Rd, Burlington, WI 53105 Phone: 414-963-0816 | |
Kevin Douglas Liberty, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-767-6020 |