Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON G DE VRIES, DPM
ActiveDR. JASON G DE VRIES, DPM is a Podiatrist healthcare provider located in MANITOWOC, Wisconsin. NPI 1609028422 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · MANITOWOC, WI
Registration Details
- NPI Number
- 1609028422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2008 (17.808262896493 yrs)
- Last Updated
- Apr 10, 2024
- Licenses
-
940-025 (WI)940-25 (WI)940 (WI)
Practice Information
- Address
-
1111 BAYSHORE DRMANITOWOC, WI, 542205548Browse WI providers · Browse ZIP 54220
- Phone
- 9206826376
- Fax
- 9206520115
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in MANITOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| JONATHAN A SNELLGROVE | DPM | 1548260060 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.