Advanced Foot and Ankle Center of Kenosha SC
Advanced Foot and Ankle Center of Kenosha SC is a Podiatrist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
Practice location Address checks out
2901 35th St Lowr Level SouthKenosha, WI 53140-5117
Phone: (262) 652-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 1029-25 (WI) |
|---|
Record details
| NPI number | 1104279561 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dana Derouin — President · (262) 652-6555 |
| NPI enumerated | July 20, 2016 |
| Last updated in NPPES | July 20, 2016 |
| Mailing address | 2901 35th St, Lower Level South, Kenosha, WI 53140-5117 |
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