Organization
NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY K TOUGAS DPM (PHYSICIAN/OWNER)
(920) 731-1999
Entity
Organization
Contact information
Practice address
1301 E NORTHLAND AVE, STE B, APPLETON, WI 54911-8426
(920) 731-1999
(920) 731-3729
Mailing address
1301 E. NORTHLAND AVE, SUITE B, APPLETON, WI 54911
(920) 731-1999
(920) 731-3729
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
604-025
WI
213EP1101X
Primary Podiatric Medicine Podiatrist
902-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093716177
NPI
WI
05
—
43222200
—
WI
Enumeration date
08/10/2005
Last updated
04/24/2018
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