institution
Gs Miceli Dpm, Sc
Foot Surgery Podiatrist in Kenosha, Wisconsin
NPI 1154492668

Gs Miceli Dpm, Sc is a Foot Surgery Podiatrist based in Pleasant Prairie, WI and is specialized in Foot Surgery. Gs Miceli Dpm, Sc practices in Kenosha, WI. The NPI Number for Gs Miceli Dpm, Sc is 1154492668 and holds a License No. 524 (Wisconsin).

The current practice location address for Gs Miceli Dpm, Sc is 7201 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-925-6565 and via fax at 262-697-4291. You can also correspond with Gs Miceli Dpm, Sc through the mailing address at PO BOX 580149, PLEASANT PRAIRIE, WI - 53158-8011 (mailing address contact number: 262-925-6565).

Location: 7201 Green Bay Rd, Kenosha, WI, 53158-8011
institution
Provider Profile Details
NPI Number
1154492668
Provider Name
Gs Miceli Dpm, Sc
Credential
Provider Entity Type
Organization
Address
7201 Green Bay Rd, Kenosha, WI, 53158-8011
Phone Number
262-925-6565
Fax Number
262-697-4291
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43208700 05 WI
institution
Provider Business Practice Location Address Details
Address
7201 Green Bay Rd
City
State
Zip
53142-3532
Phone Number
262-925-6565
Fax Number
262-697-4291
person
Provider Business Mailing Address Details
Address
7201 Green Bay Rd
City
State
Zip
53142-3532
Phone Number
262-925-6565
Fax Number
262-697-4291
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
524 (Wisconsin)
Definition
Definition to come...
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