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Individual

DR. GIUSEPPE S MICELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7201 GREEN BAY RD, SUITE A, KENOSHA, WI 53142-3532
(262) 925-6565
(262) 697-4291
Mailing address
7201-GREEN BAY ROAD, SUITE A, KENOSHA, WI 53142
(262) 925-6565
(262) 697-4291

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
524-025
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43208700
WI
Enumeration date
02/23/2006
Last updated
01/04/2011
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