Organization
ADVANCED FOOT & ANKLE OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KOKAT DPM (D.P.M.)
(262) 763-9007
Entity
Organization
Contact information
Practice address
19035 W CAPITOL DR, SUITE 101, BROOKFIELD, WI 53045-2755
(262) 763-9007
(262) 758-6134
Mailing address
19035 W CAPITOL DR, SUITE 101, BROOKFIELD, WI 53045-2755
(262) 763-9007
(262) 763-8184
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
924-25
WI
332B00000X
Durable Medical Equipment & Medical Supplies
—
WI
Other
Enumeration date
11/08/2012
Last updated
10/04/2019
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