ADVANCED FOOT & ANKLE OF WISCONSIN LLC NPI 1962756270

NPI Information

NPI: 1962756270
Provider Name: ADVANCED FOOT & ANKLE OF WISCONSIN LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
19035 W CAPITOL DR
SUITE 101
BROOKFIELD, WI
ZIP 53045
Phone: (262) 763-9007
Get Directions

ADVANCED FOOT & ANKLE OF WISCONSIN LLC is a foot and ankle surgery podiatrist in Brookfield, WI. ADVANCED FOOT & ANKLE OF WISCONSIN LLC NPI is 1962756270. The provider is registered as an organization entity type.

The provider's business location address is:

19035 W CAPITOL DR
SUITE 101
BROOKFIELD, WI
ZIP 53045-755
Phone: (262) 763-9007
Fax: (262) 758-6134

The provider's authorized official is Michael Kokat .
The authorized official title is D.p.m. and has the following contact phone number (262) 763-9007.

The enumeration date for this NPI number is 11/8/2012 and was last updated on 10/4/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			WISCONSIN	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	924-25	WISCONSIN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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