NPI 1568734044

Family Foot Clinics of Wisconsin Sc

Organisation Foot & Ankle Surgery Podiatrist Racine, WI

Practice location

Address: 5802 Washington Ave Suite 103, Racine, WI 53406-4050
Phone: (262) 637-8806
Fax: (262) 637-2868
Mailing address: 3535 30th Ave Suite 203, Kenosha, WI 53144-1632

Authorised official

Name: Alyssa K Stephenson
Title: President
Phone: (262) 637-8806

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Wisconsin →

Registry record

NPI: 1568734044
Entity type: Organization
NPI issued: 31 Jan 2012
Record last updated: 10 Feb 2012

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.