Organization
ALAN L BALKANSKY DPMSC
Active
Other names
Healthy Foot & Ankle Grafton Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN L BALKANSKY DPM (PRESIDENT PODIATRIST)
(414) 442-3400
Entity
Organization
Contact information
Practice address
5404A N LOVERS LANE RD, MILWAUKEE, WI 53225-3006
(414) 442-3400
(414) 442-0344
Mailing address
5404A N LOVERS LANE RD, MILWAUKEE, WI 53225-3006
(414) 442-3400
(414) 442-0344
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
429025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0864550001
MEDICARE NSC
—
05
—
43210400
—
WI
Enumeration date
10/31/2006
Last updated
11/20/2012
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