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WHITEFISH BAY FOOT & ANKLE CLINC, LLC
NPI 1003909847
Podiatrist - Foot & Ankle Surgery in Whitefish Bay, WI

Active since October 02, 2006
155 E SILVER SPRING DR STE 205, WHITEFISH BAY, WI 53217(414) 967-1900(414) 967-1926 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Whitefish Bay Foot & Ankle Clinc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITEFISH BAY FOOT & ANKLE CLINC, LLC (NPI 1003909847) is a healthcare organization registered as a foot & ankle surgery in Whitefish Bay, Wisconsin and active in the NPI registry since October 2006. The organization lists Jason Boudreau, Podiatrist / Owner, as its authorized official.

NPPES Registry Identity

NPI1003909847
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWHITEFISH BAY FOOT & ANKLE CLINC, LLC
Location Address155 E SILVER SPRING DR STE 205Whitefish Bay, WI 53217-4704
Mailing AddressPo Box 11430Milwaukee, WI 53211-0430 · (414) 962-9070 · Fax (414) 962-9050
Phone(414) 967-1900
Fax(414) 967-1926
Organization SubpartNo
Authorized OfficialJason BoudreauPodiatrist / Owner · (414) 967-1900
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 10, 2008
✔ NPI 1003909847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
155 E SILVER SPRING DR STE 205, Whitefish Bay, WI 53217
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Other Identifiers 3

Medicare NSC5354600001WI
Medicare UPINU80480WI
Medicaid43266800WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitefish Bay Foot & Ankle Clinc, LLC's NPI number?

The NPI number for Whitefish Bay Foot & Ankle Clinc, LLC is 1003909847. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Whitefish Bay Foot & Ankle Clinc, LLC located?

Whitefish Bay Foot & Ankle Clinc, LLC is located at 155 E Silver Spring Dr Ste 205, Whitefish Bay, WI 53217. The listed phone number is (414) 967-1900.

What is Whitefish Bay Foot & Ankle Clinc, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Whitefish Bay Foot & Ankle Clinc, LLC was last updated on March 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.