Miceli, Giuseppe S

Miceli, Giuseppe S is an individual health care provider with primary practice located at 7201 Green Bay Rd Suite A, Kenosha WI 53142-3532. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Miceli, Giuseppe S can be contacted via phone (262) 925-6565.

Contact Information

Primary practice address
7201 Green Bay Rd Suite A Kenosha WI 53142-3532
Phone: (262) 925-6565
Fax: (262) 697-4291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 524-025 Wisconsin

Profile Details

NPI number 1619943354
LBN Legal business name Miceli, Giuseppe S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619943354 NPPES
Wisconsin MEDICAID 43208700

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