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

Wisconsin Visiting Podiatry

Organization Foot & Ankle Surgery Podiatrist · NPI 1790158368

Wisconsin Visiting Podiatry is a Foot & Ankle Surgery Podiatrist in Waterford, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

28606 Sandpiper Trl
Waterford, WI 53185-1733
Phone: (224) 234-7304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1790158368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Carter — Credentialing Manager · (262) 444-3132
NPI enumeratedNovember 4, 2015
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing addressPo Box 187, Waterford, WI 53185-0187