NPI 1154492668

Gs Miceli DPM, Sc

Organisation Foot Surgery Podiatrist Kenosha, WI

Practice location

Address: 7201 Green Bay Rd Suite a, Kenosha, WI 53142-3532
Phone: (262) 925-6565
Fax: (262) 697-4291
Mailing address: PO Box 580149, Pleasant Prairie, WI 53158-8011

Authorised official

Name: Giuseppe S Miceli
Title: Owner
Phone: (262) 925-6565

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 524 (WI)

Other Podiatrist providers in Wisconsin →

Registry record

NPI: 1154492668
Entity type: Organization
NPI issued: 13 Nov 2006
Record last updated: 22 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.