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Contact Information

ADVANCED FOOT & ANKLE OF WISCONSIN LLC
19035 W CAPITOL DR
SUITE 101
BROOKFIELD, WI53045-2755
 Phone: 262-763-9007
 Fax: 262-758-6134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT ANKLE OF WISCONSIN LLC · (Female)

NPI Number 1962756270
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2012
Last updated 10/04/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 924-25
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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