Whitefish Bay Foot & Ankle Clinc, Llc in Whitefish Bay - Foot & Ankle Surgery

Whitefish Bay Foot & Ankle Clinc, Llc - NPI 1003909847

Whitefish Bay Foot & Ankle Clinc, Llc is a Foot & Ankle Surgery in Whitefish Bay, Wisconsin. Whitefish Bay Foot & Ankle Clinc, Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Whitefish Bay Foot & Ankle Clinc, Llc is 1003909847. The last update date is 2008-03-10.

Whitefish Bay Foot & Ankle Clinc, Llc's current location address is 155 E Silver Spring Dr Ste 205, Whitefish Bay, Wisconsin. You can contact this provider via phone number 4149671900 and fax number 4149671926. The mailing address for Whitefish Bay Foot & Ankle Clinc, Llc is 155 E Silver Spring Dr Ste 205, Whitefish Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Whitefish Bay Foot & Ankle Clinc, Llc
Address 155 E Silver Spring Dr Ste 205, Whitefish Bay, Wisconsin
Phone Number 4149671900
Fax Number 4149671926
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PODIATRIST
Authorized Official Name Boudreau Jason
Credentials DP
Telephone Number 4149671900

NPI Number Detail

NPI Number 1003909847
Provider Enumeration Date 2006-10-02
Last Updated Date 2008-03-10

Provider Mailing Address Detail

Address 155 E Silver Spring Dr Ste 205
City Whitefish Bay
State Wisconsin (WI)
Post Code 532174704
Phone Number 4149671900
Fax Number 4149671926

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43266800 WI --

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FAQs about Whitefish Bay Foot & Ankle Clinc, Llc

What is the unique identification code assigned to Whitefish Bay Foot & Ankle Clinc, Llc by the Centers for Medicare & Medicaid Services?

The Whitefish Bay Foot & Ankle Clinc, Llc has been issued the NPI (National Provider Identifier) 1003909847. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Whitefish Bay Foot & Ankle Clinc, Llc?

The Whitefish Bay Foot & Ankle Clinc, Llc is situated at 155 E Silver Spring Dr Ste 205, in the city of Whitefish Bay, state of WI, with the zip code 532174704.

What is the area of specialization for Whitefish Bay Foot & Ankle Clinc, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Whitefish Bay Foot & Ankle Clinc, Llc is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.

On what date did the Whitefish Bay Foot & Ankle Clinc, Llc receive the assignment of its 1003909847 from the Centers for Medicare & Medicaid Services?

The Whitefish Bay Foot & Ankle Clinc, Llc was issued its 1003909847 by the Centers for Medicare & Medicaid Services on 2006-10-02.

As of what date were the details pertaining to Whitefish Bay Foot & Ankle Clinc, Llc last refreshed?

The information related to the Whitefish Bay Foot & Ankle Clinc, Llc, including its address, specialty, and other relevant details, was last updated on 2008-03-10.

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