institution
Northeast Wisconsin Foot And Ankle Assoc., S.c.
Primary Podiatric Medicine Podiatrist in Appleton, Wisconsin
NPI 1093716177

Northeast Wisconsin Foot And Ankle Assoc., S.c. is a Primary Podiatric Medicine Podiatrist based in Appleton, WI and is specialized in Primary Podiatric Medicine. Northeast Wisconsin Foot And Ankle Assoc., S.c. practices in Appleton, WI. The NPI Number for Northeast Wisconsin Foot And Ankle Assoc., S.c. is 1093716177 and holds a License No. 902-025 (Wisconsin).

The current practice location address for Northeast Wisconsin Foot And Ankle Assoc., S.c. is 1301 E Northland Ave, Appleton, WI and can be reached out via phone at 920-731-1999 and via fax at 920-731-3729.

Location: 1301 E Northland Ave, Appleton, WI, 54911
institution
Provider Profile Details
NPI Number
1093716177
Provider Name
Northeast Wisconsin Foot And Ankle Assoc., S.c.
Credential
Provider Entity Type
Organization
Address
1301 E Northland Ave, Appleton, WI, 54911
Phone Number
920-731-1999
Fax Number
920-731-3729
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43222200 05 WI
1093716177 01 WI NPI
institution
Provider Business Practice Location Address Details
Address
1301 E Northland Ave
City
State
Zip
54911-8426
Phone Number
920-731-1999
Fax Number
920-731-3729
person
Provider Business Mailing Address Details
Address
1301 E Northland Ave
City
State
Zip
54911-8426
Phone Number
920-731-1999
Fax Number
920-731-3729
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
902-025 (Wisconsin)
Definition
Definition to come...
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