GS MICELI DPM, SC

KENOSHA, WI
NPI1154492668
Entity TypeOrganization
Authorized ContactGIUSEPPE S MICELI
Owner
262-925-6565
Organization Subpart ?No
Primary Taxonomy213ES0131X Podiatrist, Foot Surgery
(Licence: WI  524)
Enumeration Date2006-11-13
Last Update Date2008-04-22
Business Address
GS MICELI DPM, SC
7201 GREEN BAY RD SUITE A
KENOSHA, WI 53142-3532
Phone number: 262-925-6565
Mailing Address
GS MICELI DPM, SC
PO BOX 580149
PLEASANT PRAIRIE, WI 53158-8011
Phone number: 262-925-6565