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Dr. Shawn Michael Sanicola, DPM
Sports Medicine Podiatrist in Pewaukee, Wisconsin
NPI 1457356305

Shawn Michael Sanicola is a Sports Medicine Podiatrist based in Pewaukee, WI and is specialized in Sports Medicine. Shawn Michael Sanicola practices in Pewaukee, WI and has the professional credentials of DPM. The NPI Number for Shawn Michael Sanicola is 1457356305 and holds a License No. 883025 (Wisconsin).

The current practice location address for Shawn Michael Sanicola is 2835 N Grandview Blvd Ste 300, Pewaukee, WI and can be reached out via phone at 262-542-3779 and via fax at 262-542-4428.

Location: 2835 N Grandview Blvd Ste 300, Pewaukee, WI, 53072-5591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457356305
Provider Name
Shawn Michael Sanicola
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2835 N Grandview Blvd Ste 300, Pewaukee, WI, 53072-5591
Phone Number
262-542-3779
Fax Number
262-542-4428
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316994924 01 WI NPI GROUP
1457356305 01 WI INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
2835 N Grandview Blvd Ste 300
City
Pewaukee
State
Wisconsin
Zip
53072-5591
Phone Number
262-542-3779
Fax Number
262-542-4428
person
Provider Business Mailing Address Details
Address
2835 N Grandview Blvd Ste 300
City
Pewaukee
State
Wisconsin
Zip
53072-5591
Phone Number
262-542-3779
Fax Number
262-542-4428
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
883025 (Wisconsin)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
883025 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
883025 (Wisconsin)
Definition
Definition to come...
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