Individual provider · Type 1 NPI

Shawn Michael Sanicola, DPM

Podiatrist · Pewaukee, WI

NPI number 1457356305 Active

Practice location

2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591

Fax (262) 542-4428

Mailing address

2835 N Grandview Blvd, Ste 300
Pewaukee, WI 53072-5591

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X883025 (WI)
Podiatrist Primary 213E00000X883025 (WI)
Sports Medicine Podiatrist 213ES0000X883025 (WI)

Podiatrist: 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.

5 other providers at this address

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About NPI 1457356305

Shawn Michael Sanicola, DPM's National Provider Identifier is 1457356305, issued on Jun 16, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Pewaukee, WI. The record was last updated on Feb 16, 2022.