Family Foot and Ankle Clinic LLC

NPI #1376161240 in Waupaca, Wisconsin

Provider Information

NPI Number: 1376161240
Entity Type: Organization
Organization Name: Family Foot and Ankle Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY FOOT AND ANKLE CLINIC, LLC
Primary Specialty: Podiatrist
Enumeration Date: Jul 8, 2020
Last Updated: Jul 8, 2020

Practice Location

Address: 1439 CHURCHILL ST STE 202
City: Waupaca
State: Wisconsin
ZIP Code: 54981-2089
Phone: (715) 241-8100

Authorized Official

Name: DR. JOEL J TIKALSKY, DPM
Title: PRESIDENT
Phone: (715) 241-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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