OrganizationActive
Family Foot and Ankle Clinic LLC
NPI 1376161240 · Podiatrist · Waupaca, WI
Provider details
- NPI number
- 1376161240
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Family Foot and Ankle Clinic, LLC
- Organization subpart
- Yes
- Authorized official
- Joel Tikalsky, President(715) 241-8100
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1439 Churchill St Ste 202
Waupaca, WI 54981-2089
Phone: (715) 241-8100
Approximate (ZIP-level) locationGet directions
Mailing address
5403 Normandy St
Weston, WI 54476-2217
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.