MEDICARE: FAMILY FOOT CLINICS OF WISCONSIN 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

General Provider Information

NPI Number	:	1568734044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOT CLINICS OF WISCONSIN SC

Provider Business Mailing Address
First Line	:	3535 30TH AVE
Second Line	:	SUITE 203
City	:	KENOSHA
State	:	WI
Zip	:	53144-1632
Country	:	US
Telephone Number	:	262-657-6104
Fax Number	:	262-657-6104

Provider Business Practice Location Address
First Line	:	5802 WASHINGTON AVE
Second Line	:	SUITE 103
City	:	RACINE
State	:	WI
Zip	:	53406-4050
Country	:	US
Telephone Number	:	262-637-8806
Fax Number	:	262-637-2868

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALYSSA K STEPHENSON
Credential	:	DPM
Telephone Number	:	262-637-8806

Provider Enumeration Date	:	01/31/2012
Last Update Date	:	02/10/2012

Similar Medicare Providers

1992794911 — DJ KONTRA MD & ASSOCIATES SC
Practice Location Address:

5802 WASHINGTON AVE , STE 102
RACINE, WI
53406-4050

Practice Phone: 262-886-9100
Practice Fax: 262-886-9130

1518957851 — SURGICENTER OF RACINE LTD
Practice Location Address:

5802 WASHINGTON AVE , STE 204
RACINE, WI
53406-4050

Practice Phone: 261-886-9100
Practice Fax: 261-886-9130

1285763748 — HERSLOF'S, INC
Practice Location Address:

5802 WASHINGTON AVE
RACINE, WI
53406-4050

Practice Phone: 262-886-0443
Practice Fax:

1447420724 — LAURA SUNN MD SC
Practice Location Address:

5802 WASHINGTON AVE STE 201
RACINE, WI
53406-4050

Practice Phone: 262-886-5700
Practice Fax: 262-886-4747

1306007703 — DR. EDWARD CHENG DDS
Practice Location Address:

5802 WASHINGTON AVE , STE 202
RACINE, WI
53406-4050

Practice Phone: 262-886-1957
Practice Fax:

1598785768 — MR. H. KEITH OWSLEY LAT
Practice Location Address:

4050 LIGHTHOUSE DR
RACINE, WI
53402-3114

Practice Phone: 262-260-7857
Practice Fax:

Directions to “FAMILY FOOT CLINICS OF WISCONSIN SC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.