DR. JOHN DAVID MCCREA DPM
NPI 1205087889
Podiatrist - Foot & Ankle Surgery in Lac Du Flambeau, WI
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
About JOHN MCCREA
This page provides the complete NPI Profile along with additional information for John Mccrea, a provider established in Lac Du Flambeau, Wisconsin with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1205087889 assigned on October 2008. The practitioner's primary taxonomy code is 213ES0103X with license number 402 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1205087889 Verify this NPI
- Provider Name
- DR. JOHN DAVID MCCREA DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2285 CIRCLE DR LAC DU FLAMBEAU, WI 54538
- Location Phone
- (941) 916-0319
- Mailing Address
- PO BOX 783 WOODRUFF, WI 54568
- Mailing Phone
- (941) 916-0319
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-01-2008
- Last Update Date
- 10-01-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- 402
- License State
- WI
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205087889, enumerated as an "individual" on October 01, 2008.
The provider is located at 2285 CIRCLE DR LAC DU FLAMBEAU, WI 54538 and the phone number is (941) 916-0319.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.