IndividualActive
John Bostanche, D.P.M.
NPI 1821092420 · Foot & Ankle Surgery Podiatrist · Kenosha, WI
Provider details
- NPI number
- 1821092420
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 654025 (WI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
6123 Green Bay Rd
Ste 100
Kenosha, WI 53142-2939
Phone: (262) 657-3668
Fax: (262) 652-0564
Approximate (ZIP-level) locationGet directions
Mailing address
6123 Green Bay Rd
Kenosha, WI 53142-2939
Registry dates
- Enumerated
- 2005-06-10
- Last updated
- 2010-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.