LAKE COUNTRY FOOT & ANKLE SC is a foot and ankle surgery podiatrist in Pewaukee, WI. LAKE COUNTRY FOOT & ANKLE SC NPI is 1245590017. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1177 QUAIL CT STE 103
PEWAUKEE, WI
ZIP 53072-768
Phone: (262) 695-6440
Fax: (262) 695-2668
The provider's authorized official is Ethan Daniel Meyer .
The authorized official title is President and has the following contact phone number (262) 695-6440.
The enumeration date for this NPI number is 5/25/2012 and was last updated on 5/25/2012.