IndividualActive
James Vavra, D.P.M.
NPI 1619969391 · Foot & Ankle Surgery Podiatrist · Pewaukee, WI
Provider details
- NPI number
- 1619969391
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 696 (WI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591
Phone: (262) 542-3779
Fax: (262) 542-4428
Approximate (ZIP-level) locationGet directions
Mailing address
2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2022-02-21
- Certified
- 2022-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.