Family Foot And Ankle Clinic LLC
Podiatrist in Merrill, WI. Organization (NPI-2).
NPI number1184242000
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1184242000
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Foot And Ankle Clinic LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
100 S Court StMerrill, WI 54452-2514
Phone 715-722-0999
Mailing address
5403 Normandy StWeston, WI 54476-2217
Phone 715-241-8100
Authorized official
Joel J Tikalsky
President
7152418100
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