Organization
ADVANCED FOOT & ANKLE OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD KOKAT DPM (CEO)
(262) 763-9007
Entity
Organization
Contact information
Practice address
1050 S MILWAUKEE AVENUE, STE 102, BURLINGTON, WI 53105-5310
(262) 763-9007
(262) 758-6134
Mailing address
1050 S MILWAUKEE AVENUE, STE 102, BURLINGTON, WI 53105-1380
(262) 763-9007
(262) 758-6134
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43268700
—
WI
Enumeration date
02/22/2007
Last updated
01/21/2022
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