Advanced Foot and Ankle Center of Kenosha S.c.

NPI #1104279561 in Kenosha, Wisconsin

Provider Information

NPI Number
1104279561
Entity Type
Organization
Organization Name
Advanced Foot and Ankle Center of Kenosha S.c.
Primary Specialty
Podiatrist
Enumeration Date
Jul 20, 2016
Last Updated
Jul 20, 2016

Practice Location

Address
2901 35TH ST
Address 2
LOWER LEVEL SOUTH
ZIP Code
53140-5117
Phone
(262) 652-6555

Authorized Official

Name
DR. DANA DEROUIN, DPM
Title
PRESIDENT
Phone
(262) 652-6555

Specialties & Taxonomy Codes

Specialty
Podiatrist

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