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Organization
NEAL DIABETIC FOOT AND ANKLE CENTER LLC
Active
Organization
NEAL DIABETIC FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONI JO BIESE NEAL DPM, MHA (PODIATRIST)
(920) 830-2221
Entity
Organization
Contact information
Practice address
W2654 COUNTY ROAD KK, APPLETON, WI 54915
(920) 830-2221
(920) 257-2180
Mailing address
W2654 COUNTY ROAD KK, APPLETON, WI 54915
(920) 830-2221
(920) 257-2180
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
913-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43241700
—
WI
01
—
5774600001
MEDICARE DMERC
WI
01
—
913-025
PODIATRIC MED & SURG LIC.
WI
Enumeration date
08/25/2006
Last updated
04/25/2023
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