Family Foot And Ankle Clinic Llc | |
5403 Normandy St, Weston, WI 54476-2217 | |
(715) 241-8100 | |
(715) 241-8102 |
Full Name | Family Foot And Ankle Clinic Llc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 5403 Normandy St, Weston, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659439321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 895-025 (Wisconsin) | Primary |
Provider Name | Joel J Tikalsky |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073500526 PECOS PAC ID: 5294781241 Enrollment ID: I20050323000782 |
Provider Name | William B Quinn |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043298029 PECOS PAC ID: 6608843917 Enrollment ID: I20110307000074 |
Provider Name | Mark W Thomas |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144450412 PECOS PAC ID: 4183778061 Enrollment ID: I20120712000851 |
Provider Name | Nathan Aaron Lam |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558775304 PECOS PAC ID: 5395042048 Enrollment ID: I20170905003578 |
Provider Name | Mark Magnus |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710340724 PECOS PAC ID: 2264729128 Enrollment ID: I20181015002148 |
Provider Name | Tyler Zinnecker |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1952752891 PECOS PAC ID: 1153651062 Enrollment ID: I20190919000490 |
Provider Name | Morgan O'connell |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437689171 PECOS PAC ID: 2860819901 Enrollment ID: I20200903000930 |
Provider Name | Brian Tuminski |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1821483223 PECOS PAC ID: 2466708144 Enrollment ID: I20201117001494 |
Provider Name | Timothy D Hovde |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982193157 PECOS PAC ID: 5698021343 Enrollment ID: I20210520000829 |
Provider Name | Blake Matthew Varghese |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598392011 PECOS PAC ID: 2860879830 Enrollment ID: I20220512000722 |
Provider Name | Trent Shakespear Boehm |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1871157099 PECOS PAC ID: 8921486705 Enrollment ID: I20220607001879 |
Mailing Address | Practice Location Address |
---|---|
Family Foot And Ankle Clinic Llc 5403 Normandy St, Weston, WI 54476-2217 Ph: (715) 241-8100 | Family Foot And Ankle Clinic Llc 5403 Normandy St, Weston, WI 54476-2217 Ph: (715) 241-8100 |
Dr. Joel J Tikalsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Schofield Ave Ste 110, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 | |
Mark W Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Schofield Ave, Suite 110, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 | |
Kerry S Dernbach, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3501 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-1000 | |
Allison Fischer, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5403 Normandy St, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 | |
Trent Shakespear Boehm, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 5403 Normandy St, Weston, WI 54476 Phone: 715-241-8100 Fax: 715-241-8102 |