Whalio Doctors

NPI 1619943354

Giuseppe S Miceli, DPM

Practitioner 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
7201-Green Bay Road Suite a, Kenosha, WI 53142

Registered specialties

Foot Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 524-025 (WI)

Registry record

NPI
1619943354
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Feb 2006
Record last updated
4 Jan 2011

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.