Healthcare Provider Details

I. General information

NPI: 1427073659
Provider Name (Legal Business Name): TONI JO BIESE NEAL D.P.M., M.H.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 NORTH DURKEE STREET
APPLETON WI
54911-5427
US

IV. Provider business mailing address

W2654 COUNTY ROAD KK
APPLETON WI
54915
US

V. Phone/Fax

Practice location:
  • Phone: 920-830-2221
  • Fax:
Mailing address:
  • Phone: 920-830-2221
  • Fax: 920-257-2180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number913-025
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: