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FOOT WELLNESS CENTER NPI 1962677526


NPI Information

NPI: 1962677526
Provider Name: FOOT WELLNESS CENTER
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1442 N FARWELL AVE
SUITE 605
MILWAUKEE, WI
ZIP 53202
Phone: (414) 271-0670
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FOOT WELLNESS CENTER is a foot surgery podiatrist in Milwaukee, WI. FOOT WELLNESS CENTER NPI is 1962677526. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1442 N FARWELL AVE
SUITE 605
MILWAUKEE, WI
ZIP 53202-996
Phone: (414) 271-0670
Fax: (414) 271-2396

The provider's authorized official is Paul M. Zerovec .
The authorized official title is Owner and has the following contact phone number (414) 271-0670.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 10/13/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery802025WISCONSINYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396822730OTHERWISCONSININDIVIDUAL NPI
243269300MEDICAIDWISCONSIN
3000081017MEDICARE PINWISCONSIN
4U77494MEDICARE UPINWISCONSIN
543227900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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