Provider Demographics
NPI:1063534030
Name:FOOT AND ANKLE ASSOCIATES OF WI LTD
Entity type:Organization
Organization Name:FOOT AND ANKLE ASSOCIATES OF WI LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GALATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-542-3779
Mailing Address - Street 1:2835 N GRANDVIEW BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-5591
Mailing Address - Country:US
Mailing Address - Phone:262-542-3779
Mailing Address - Fax:262-542-4428
Practice Address - Street 1:2835 N GRANDVIEW BLVD
Practice Address - Street 2:STE 300
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072
Practice Address - Country:US
Practice Address - Phone:262-542-3779
Practice Address - Fax:262-542-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1063660751OtherAMY GALATI NPI
WI1619969391OtherJAMES R VAVRA NPI
1902291818OtherTYLER VELDKAMP
WI1952393738OtherTHOMAS A PIETROCARLO NPI
WI1457356305OtherSHAWN M SANICOLA NPI
1154632412OtherANTON SELLA NPI
WI1063534030OtherGRP NPI
1740773613OtherJEREMY PHILIPSEN NPI