Organization
FAMILY FOOT & ANKLE CLINICS OF WISCONSIN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM YODER DPM (DIRECTOR)
(262) 657-6104
Entity
Organization
Contact information
Practice address
3535 30TH AVE, STE 203, KENOSHA, WI 53144-1632
(262) 657-6104
(262) 657-6194
Mailing address
6123 GREEN BAY RD, SUITE 100, KENOSHA, WI 53142-2927
(262) 657-0224
(262) 652-0564
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
988025
WI
Other
Enumeration date
10/05/2013
Last updated
10/05/2013
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