GREAT LAKES FOOT & ANKLE CENTERS INC is a foot and ankle surgery podiatrist in Kenosha, WI. GREAT LAKES FOOT & ANKLE CENTERS INC NPI is 1295941409. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
6123 GREEN BAY RD
SUITE 100
KENOSHA, WI
ZIP 53142-927
Phone: (262) 652-3668
Fax: (262) 652-0564
The provider's authorized official is John L Bostanche .
The authorized official title is Physician/owner and has the following contact phone number (262) 652-3668.
The CLIA number assigned to this NPI record is 52D0869584 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/15/2007 and was last updated on 9/20/2021.