Overview
Name: DR. JASON K. BOUDREAU D.P.M.
Specialty: Podiatrist
Type of Practice: Individual provider
Provider/Org:
Medical School: OTHER
Graduation year from medical school: 1997
Affiliation: COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
Specialties
Practice Type: Podiatric Medicine & Surgery Service Providers
Classification: Podiatrist
Specialization: . PODIATRY
Definition of Specialty: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
License & NPI
License #(s): 803-025, , , ,
License State(s): WI, , , ,
Addresses
Practice Location: 2311 N PROSPECT AVE,MILWAUKEE,WI,532114445,US
Mailing Address: 4425 N PORT WASHINGTON RD,ATTN: CSMCP CLINIC CREDENTIALING,GLENDALE,WI,532121082,US
Contact #
Practice location phone #: 4143193000
Practice location fax #:
Mailing address Phone #: 4143193000
Mailing Address fax #:
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/18/2005
Last data data was updated: 06/07/2012
Insurances: