ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C. NPI 1104279561

NPI Information

ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C. is a podiatrist in Kenosha, WI. The provider is 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. ADVANCED FOOT AND ANKLE CENTER OF KENOSHA S.C. NPI is 1104279561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2901 35TH ST
LOWER LEVEL SOUTH
KENOSHA, WI
ZIP 53140-117
Phone: (262) 652-6555

The provider's authorized official is Dana Derouin .
The authorized official title is President and has the following contact phone number (262) 652-6555.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 7/20/2016.

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

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