Individual
THOMAS ANTHONY PIETROCARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2430C N GRANDVIEW BLVD, WAUKESHA, WI 53188-1605
(262) 542-3779
(262) 542-3954
Mailing address
2430C N GRANDVIEW BLVD, WAUKESHA, WI 53188-1605
(262) 542-3779
(262) 542-3954
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
408
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43210100
—
WI
Enumeration date
08/18/2005
Last updated
03/21/2008
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