Dr. Jason G De Vries, DPM
Dr. Jason G De Vries, DPM is a Podiatry in Manitowoc, Wisconsin. Qualified in 2006, 20 years ago. Practices with Baycare Clinic LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 20
- Licensed in
- WI
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
1111 Bayshore DrManitowoc, WI 54220-5548
Phone: (920) 682-6376
Fax: (920) 652-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 940 (WI) |
|---|---|
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence 940-25 (WI) |
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence 940-025 (WI) |
Record details
| NPI number | 1609028422 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | October 13, 2008 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Baycare Clinic Llp — 196 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Manitowoc
-
Jonathan A Snellgrove, DPM
1650 S 41st St, Manitowoc, WI 54220-7316 · (920) 320-5251