Organization
FOOT & ANKLE HEALTH CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A ENGEL DPM (CEO)
(262) 654-9181
Entity
Organization
Contact information
Practice address
6707 39 AVENUE, KENOSHA, WI 53142
(262) 654-9181
(262) 654-3330
Mailing address
6707 39 AVENUE, KENOSHA, WI 53142
(262) 654-9181
(262) 654-3330
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
772025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43266500
—
WI
01
—
DA9868
RAIL ROAD MEDICARE GROUP PTAN
WI
Enumeration date
05/02/2007
Last updated
07/22/2009
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