| Organization Name: | FOOT AND ANKLE ASSOCIATES OF WI LTD |
| NPI Number: | 1063534030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS ANTHONY PIETROCARLO (DOCTOR) |
| Mailing Address: | 2835 N Grandview Blvd Ste 300 Pewaukee |
| State: | WI US |
| Postal Code: | 53072 |
| Phone Number: | 2625423779 |
| Fax Number: | 2625424428 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |