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FAMILY FOOT CLINIC, SC
NPI 1063515526
Podiatrist in Fond Du Lac, WI

Active since September 07, 2006
21 S MARR ST, FOND DU LAC, WI 54935(920) 921-1669(920) 921-7950 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Foot Clinic, Sc NPPES

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

FAMILY FOOT CLINIC, SC (NPI 1063515526) is a healthcare organization registered as a podiatrist in Fond Du Lac, Wisconsin and active in the NPI registry since September 2006. The organization lists Ian Charles Furness, President, as its authorized official.

NPPES Registry Identity

NPI1063515526
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFAMILY FOOT CLINIC, SC
Location Address21 S MARR STFond Du Lac, WI 54935-4334
Mailing Address21 S Marr StFond Du Lac, WI 54935-4334 · (920) 921-1669 · Fax (920) 921-7950
Phone(920) 921-1669
Fax(920) 921-7950
Organization SubpartNo
Authorized OfficialIan Charles FurnessPresident · (920) 921-1669
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMay 21, 2010
✔ NPI 1063515526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
21 S MARR ST, Fond Du Lac, WI 54935
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Other Identifiers 6

Medicare PIN000085810
Other=========016WI · Anthem Blue Crossblue Shi
Medicaid43264100WI
OtherCQ2458WI · Rr/medicare
Medicare NSC0393560002WI
Medicare NSC0393560001WI

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN KLOCK MS, LPC
Counselor (Professional)
21 S MARR ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-4207
AGNESIAN HEALTHCARE INC
Durable Medical Equipment & Medical Supplies
21 S MARR ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-1669

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 Family Foot Clinic, Sc's NPI number?

The NPI number for Family Foot Clinic, Sc is 1063515526. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Family Foot Clinic, Sc located?

Family Foot Clinic, Sc is located at 21 S Marr St, Fond Du Lac, WI 54935. The listed phone number is (920) 921-1669.

What is Family Foot Clinic, Sc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Family Foot Clinic, Sc was last updated on May 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.