Organization
FAMILY FOOT AND ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL J TIKALSKY DPM (OWNER/PRESIDENT)
(715) 241-8100
Entity
Organization
Contact information
Practice address
5403 NORMANDY ST, WESTON, WI 54476-2217
(715) 241-8100
(715) 241-8102
Mailing address
5403 NORMANDY ST, WESTON, WI 54476-2217
(715) 241-8100
(715) 241-8102
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
895-025
WI
Other
Enumeration date
12/05/2006
Last updated
06/12/2020
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