Great Lakes Foot & Ankle of Greater Milwaukee

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

GREAT LAKES FOOT & ANKLE OF GREATER MILWAUKEE

Practice address

8153 S 27TH St
400
Franklin, WI 53132-9549

Phone

(414) 761-0981

NPI assigned

Jul 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert D Matteucci, D.P.M.

Title

Manager

Phone

(414) 761-0981

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1316101595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 S 27TH ST",
            "address_2": "400",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329549",
            "telephone_number": "414-761-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8153 S 27TH ST",
            "address_2": "400",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329549",
            "telephone_number": "414-761-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FOOT & ANKLE OF GREATER MILWAUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "MATTEUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-761-0981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316101595",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WI1772",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Gonzales-Charles, PT
• Adriana Gonzalez
• Donna J Grabski, APNP
• Timothy J Grass, D.O.
• Great Lakes Anesthesia and Pain Specialists SC
• Great Lakes Medical LLC
• Great Lakes Pain Specialists, LLC
• Jennifer Theresa Grimm, RPH
• Michelle L Gruenewald, R.N.
• Rita Ann Grulkowski, RN

• Podiatric Clinic/Center in Franklin, WI
• Providers in Franklin, WI by specialty
• Podiatric Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.