Family Foot and Ankle Clinic LLC
Organization Active NPI Podiatrist · Merrill, WI
NPI 1184242000 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1184242000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- FAMILY FOOT AND ANKLE CLINIC LLC
- Practice address
- 100 S Court St
Merrill, WI 54452-2514 - Phone
- (715) 722-0999
- NPI assigned
- Jul 7, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- FAMILY FOOT AND ANKLE CLINIC
Authorized official
- Name
- Dr. Joel J Tikalsky, DPM
- Title
- President
- Phone
- (715) 241-8100
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Family Foot and Ankle Clinic LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
100 S Court St
Merrill, WI 54452-2514
Mailing address
5403 Normandy St
Weston, WI 54476-2217
Phone (715) 241-8100
Other providers in Merrill, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.