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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

NPI Number 1962756270
LBN Legal business name ADVANCED FOOT & ANKLE OF WISCONSIN LLC
Authorized official MICHAEL KOKAT - (D.P.M.)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2012
Last updated 10/04/2019 - About 7 years ago
Identifiers
WI License # 924-25
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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