Healthcare Provider Details

I. General information

NPI: 1316079569
Provider Name (Legal Business Name): WILMINGTON FOOT AND ANKLE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 E BASIN RD SUITE 3
NEW CASTLE DE
19720-4263
US

IV. Provider business mailing address

702 E BASIN RD SUITE 3
NEW CASTLE DE
19720-4263
US

V. Phone/Fax

Practice location:
  • Phone: 302-221-6880
  • Fax: 302-221-6883
Mailing address:
  • Phone: 302-221-6880
  • Fax: 302-221-6883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number2001106842
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY TODD GROBES
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 302-221-6880