Advanced Foot Specialists.LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Greenfield, WI
NPI 1639367667 · NPPES record last updated Sep 7, 2011
Key facts
- NPI
- 1639367667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 677-025 (WI)
- Legal business name
- ADVANCED FOOT SPECIALISTS.LLC
- Practice address
- 3870 S 108TH St
Greenfield, WI 53228-1308 - Phone
- (414) 327-2770
- Fax
- (414) 327-0338
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Rosanne B Clement, DPM
- Title
- Owner
- Phone
- (414) 327-2770
Practitioners 1
-
Lisa Gustine Kornely, D.P.M.
National Provider Directory
Locations
3870 S 108th St
Milwaukee, WI 53228
Phone (414) 327-2770
331 E Puetz Rd
Ste 105
Oak Creek, WI 53154
Phone (414) 530-0304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 677-025 | WI | Yes |
Addresses
Primary practice location
3870 S 108TH St
Greenfield, WI 53228-1308
Mailing address
3870 S 108TH St
Greenfield, WI 53228-1308
Phone (414) 327-2770
Other providers in Greenfield, WI
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All providers in Greenfield, WI · Foot & Ankle Surgery Podiatrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2011. 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.