Organization · Type 2 NPI

GS Miceli Dpm, SC

Foot Surgery Podiatrist · Kenosha, WI

NPI number 1154492668 Active

Practice location

7201 Green Bay Rd, Suite A
Kenosha, WI 53142-3532

Call (262) 925-6565 Map

Fax (262) 697-4291

Mailing address

PO Box 580149
Pleasant Prairie, WI 53158-8011

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131X524 (WI)

Foot Surgery Podiatrist: Definition to come...

11 other providers at this address

About NPI 1154492668

GS Miceli Dpm, SC's National Provider Identifier is 1154492668, issued on Nov 13, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Kenosha, WI. The record was last updated on Apr 22, 2008.