Organization · Type 2 NPI

Wisconsin Foot & Ankle Center LLC

Foot & Ankle Surgery Podiatrist · Kenosha, WI

NPI number 1356418800 Active

Practice location

10105 74th St, Suite 101
Kenosha, WI 53142-7519

Fax (262) 925-8409

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

8 other providers at this address

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About NPI 1356418800

Wisconsin Foot & Ankle Center LLC's National Provider Identifier is 1356418800, issued on Nov 29, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kenosha, WI. The record was last updated on Aug 23, 2010.