Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Washington Podiatry Inc

Organization Podiatrist · NPI 1013953926

Port Washington Podiatry Inc is a Podiatrist in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1317 W Grand Avenue Port Washington Podiatry
Port Washington, WI 53074
Phone: (262) 284-8800
Fax: (262) 284-8861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 798025 (WI)

Record details

NPI number1013953926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Bongiorno — President · (262) 284-8800
NPI enumeratedJune 20, 2006
Last updated in NPPESApril 20, 2008
Mailing address2132 Willow Pond Way, Grafton, WI 53024-9102

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