Organization
FAMILY FOOT AND ANKLE CLINIC LLC
Active
Parent organization
FAMILY FOOT AND ANKLE CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY FOOT AND ANKLE CLINIC, LLC
Authorized official
DR. JOEL J TIKALSKY DPM (PRESIDENT)
(715) 241-8100
Entity
Organization
Contact information
Practice address
1439 CHURCHILL ST STE 202, WAUPACA, WI 54981-2089
(715) 241-8100
Mailing address
5403 NORMANDY ST, WESTON, WI 54476-2217
(715) 241-8100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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