institution
G.s. Miceli, Dpm, S.c.
Foot Surgery Podiatrist in Mount Pleasant, Wisconsin
NPI 1568728046

G.s. Miceli, Dpm, S.c. is a Foot Surgery Podiatrist based in Kenosha, WI and is specialized in Foot Surgery. G.s. Miceli, Dpm, S.c. practices in Mount Pleasant, WI. The NPI Number for G.s. Miceli, Dpm, S.c. is 1568728046 and holds a License No. 524 (Wisconsin).

The current practice location address for G.s. Miceli, Dpm, S.c. is 6754 Lindermann Ave, Mount Pleasant, WI and can be reached out via phone at 262-654-5555 and via fax at 262-654-9333.

Location: 6754 Lindermann Ave, Mount Pleasant, WI, 53142-3532
institution
Provider Profile Details
NPI Number
1568728046
Provider Name
G.s. Miceli, Dpm, S.c.
Credential
Provider Entity Type
Organization
Address
6754 Lindermann Ave, Mount Pleasant, WI, 53142-3532
Phone Number
262-654-5555
Fax Number
262-654-9333
Provider Enumeration Date
04/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43208700 05 WI
institution
Provider Business Practice Location Address Details
Address
6754 Lindermann Ave
City
State
Zip
53406-5603
Phone Number
262-654-5555
Fax Number
262-654-9333
person
Provider Business Mailing Address Details
Address
6754 Lindermann Ave
City
State
Zip
53406-5603
Phone Number
262-654-5555
Fax Number
262-654-9333
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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