MEDICARE: AFFILIATED PODIATRISTS SC

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	213ES0103X	Foot & Ankle Surgery Podiatrist	372-025	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1316994924	OTHER	WI	NPI GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316994924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFILIATED PODIATRISTS SC

Provider Business Mailing Address
First Line	:	4220 S 27TH ST
Second Line	:	SUITE 101
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-1855
Country	:	US
Telephone Number	:	414-281-5480
Fax Number	:	414-281-9866

Provider Business Practice Location Address
First Line	:	4220 S 27TH ST
Second Line	:	SUITE 101
City	:	MILWAUKEE
State	:	WI
Zip	:	53221-1855
Country	:	US
Telephone Number	:	414-281-5480
Fax Number	:	414-281-9866

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LOUIS ROBERT LAPOW
Credential	:	DPM
Telephone Number	:	414-281-5480

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	02/12/2013

Similar Medicare Providers

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Practice Location Address:

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1740315373 — DR. THOMAS JAMES HEINRICH D.D.S.
Practice Location Address:

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1023239126 — DR. ROBERT B SCHLAMER D.D.S.
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1811333867 — BEST CARE PEDIATRICS LLC
Practice Location Address:

4220 S 27TH ST , SUITE # 200
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Practice Fax: 414-282-5810

Directions to “AFFILIATED PODIATRISTS SC ” Practice Location

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