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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