Shawn Michael Sanicola in Pewaukee - Foot & Ankle Surgery
Shawn Michael Sanicola - NPI 1457356305
Shawn Michael Sanicola is a Foot & Ankle Surgery in Pewaukee, Wisconsin. Shawn Michael Sanicola practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Shawn Michael Sanicola is 1457356305. The last update date is 2022-02-16.
Shawn Michael Sanicola's current location address is 2835 N Grandview Blvd, Pewaukee, Wisconsin. You can contact this provider via phone number 2625423779 and fax number 2625424428. The mailing address for Shawn Michael Sanicola is 2835 N Grandview Blvd, Pewaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Michael Sanicola |
|---|---|
| Address | 2835 N Grandview Blvd, Pewaukee, Wisconsin |
| Phone Number | 2625423779 |
| Fax Number | 2625424428 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1457356305 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2022-02-16 |
Provider Mailing Address Detail
| Address | 2835 N Grandview Blvd |
|---|---|
| City | Pewaukee |
| State | Wisconsin (WI) |
| Post Code | 5307255910 |
| Phone Number | 2625423779 |
| Fax Number | 2625424428 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 883025 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316994924 | WI | NPI GROUP | |
| 1457356305 | WI | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shawn Michael Sanicola by the Centers for Medicare & Medicaid Services?
The Shawn Michael Sanicola has been issued the NPI (National Provider Identifier) 1457356305, which 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 Shawn Michael Sanicola?
The Shawn Michael Sanicola is situated at 2835 N Grandview Blvd, in the city of Pewaukee, state of WI, with the zip code 5307255910.
What is the area of specialization for Shawn Michael Sanicola, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shawn Michael Sanicola is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.
On what date did the Shawn Michael Sanicola receive its 1457356305 assignment from the Centers for Medicare & Medicaid Services?
The Shawn Michael Sanicola was assigned its 1457356305 by the Centers for Medicare & Medicaid Services on 2005-06-16.
As of what date were the details pertaining to Shawn Michael Sanicola last refreshed?
The information related to the Shawn Michael Sanicola, including its address, specialty, and other relevant details, was last updated on 2022-02-16.
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