Rock River Foot and Ankle Clinic SC

Organization Active NPI Non-Pharmacy Dispensing Site · Oconomowoc, WI

NPI 1245025071 · NPPES record last updated Apr 11, 2025

Key facts

NPI
1245025071
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
Legal business name
ROCK RIVER FOOT AND ANKLE CLINIC SC
Practice address
422 Summit Ave
Oconomowoc, WI 53066-3749
Phone
(262) 490-4568
NPI assigned
Apr 11, 2025
Organization subpart
No

Authorized official

Name
Rosalie Kreighbaum
Title
Regional Credentialing Specialist
Phone
(314) 909-1920

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rock River Foot Ankle Clinic SC (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Yes

Addresses

Primary practice location

422 Summit Ave
Oconomowoc, WI 53066-3749

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (866) 626-1540

Other providers in Oconomowoc, WI

All providers in Oconomowoc, WI · Non-Pharmacy Dispensing Site in Wisconsin

Sources for this page

Verify at the official NPI Registry.