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Contact Information

BAYSHORE FOOT AND ANKLE CLINIC LLC
10012 W CAPITOL DR
SUITE L101
MILWAUKEE, WI53222-1338
 Phone: 414-973-2333
 Fax: 414-973-2323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BAYSHORE FOOT AND ANKLE CLINIC LLC · (Female)

NPI Number 1780935387
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2012
Last updated 07/03/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1015-25
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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