Organization
G.S. MICELI, DPM, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIUSEPPI MICELI DPM (OWNER)
(262) 654-5555
Entity
Organization
Contact information
Practice address
6754 LINDERMANN AVE, MOUNT PLEASANT, WI 53406-5603
(262) 654-5555
(262) 654-9333
Mailing address
7201 GREENBAY ROAD, SUITE A, KENOSHA, WI 53142-3532
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
524
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43208700
—
WI
Enumeration date
04/09/2012
Last updated
04/09/2012
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