FAMILY FOOT AND ANKLE CENTER SC NPI 1811063274

NPI Information

FAMILY FOOT AND ANKLE CENTER, SC is a foot surgery podiatrist in Appleton, WI. FAMILY FOOT AND ANKLE CENTER, SC NPI is 1811063274. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

436 E LONGVIEW DR
SUITE A
APPLETON, WI
ZIP 54911-166
Phone: (920) 733-5345
Fax: (920) 733-1390

The provider's authorized official is Dirk Saul Halverson .
The authorized official title is President and has the following contact phone number (920) 733-5345.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 4/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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