institution
Great Lakes Foot & Ankle Centers Inc
Foot & Ankle Surgery Podiatrist in Kenosha, Wisconsin
NPI 1295941409

Great Lakes Foot & Ankle Centers Inc is a Foot & Ankle Surgery Podiatrist based in Kenosha, WI and is specialized in Foot & Ankle Surgery. Great Lakes Foot & Ankle Centers Inc practices in Kenosha, WI. The NPI Number for Great Lakes Foot & Ankle Centers Inc is 1295941409 and holds a License No. 016 (Wisconsin).

The current practice location address for Great Lakes Foot & Ankle Centers Inc is 6123 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-652-3668 and via fax at 262-652-0564.

Location: 6123 Green Bay Rd, Kenosha, WI, 53142-2927
institution
Provider Profile Details
NPI Number
1295941409
Provider Name
Great Lakes Foot & Ankle Centers Inc
Credential
Provider Entity Type
Organization
Address
6123 Green Bay Rd, Kenosha, WI, 53142-2927
Phone Number
262-652-3668
Fax Number
262-652-0564
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43215000 05 WI
43237400 05 WI
43220100 05 WI
institution
Provider Business Practice Location Address Details
Address
6123 Green Bay Rd
City
State
Zip
53142-2927
Phone Number
262-652-3668
Fax Number
262-652-0564
person
Provider Business Mailing Address Details
Address
6123 Green Bay Rd
City
State
Zip
53142-2927
Phone Number
262-652-3668
Fax Number
262-652-0564
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016 (Illinois)
Definition
Definition to come...
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