MEDICARE: ADAM FINZEN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	1196	WI

General Provider Information

NPI Number	:	1184010969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM FINZEN D.P.M.

Provider Business Mailing Address
First Line	:	1050 MILWAUKEE AVE STE 102
Second Line	:
City	:	BURLINGTON
State	:	WI
Zip	:	53105-1380
Country	:	US
Telephone Number	:	262-758-6155
Fax Number	:	262-758-6145

Provider Business Practice Location Address
First Line	:	4600 W LOOMIS RD STE 218
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53220-4858
Country	:	US
Telephone Number	:	414-281-1500
Fax Number	:	414-281-9120

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	01/21/2022

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