Dr. Shawn Michael Sanicola
Podiatrist Sports Medicine Foot & Ankle Surgery
2430c N Grandview Blvd # C
Waukesha
, Wisconsin 53188-1605
Dr. Shawn Michael Sanicola
Podiatrist Sports Medicine Foot & Ankle Surgery
2430c N Grandview Blvd # C
Waukesha
, Wisconsin 53188-1605
(262) 542-4428
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About
Features
Specialties
- Podiatrist
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Shawn Michael Sanicola
- 2835 N Grandview Blvd Ste 300
- Pewaukee, WI
- Zip : 53072-5591
- Fax : (262) 542-4428
- Phone : (262) 542-3779
Second Address
- Dr. Shawn Michael Sanicola
- 2430c N Grandview Blvd # C
- Waukesha, WI
- Zip : 53188-1605
- Fax : (262) 542-4428
- Phone : (262) 542-3779
Reviews
FAQs
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Is Dr. Shawn Michael Sanicola a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 883025 | WI |
| Y | 222Z00000X | Podiatrist | 883025 | WI |
| N | 2081S0010X | Sports Medicine | 883025 | WI |
| N | 213ES0000X | Sports Medicine | 883025 | WI |
| N | 213ES0103X | Foot & Ankle Surgery | 883025 | WI |
National Provider Identifier
| NPI | 1457356305 |
|---|---|
| Provider Name | Dr. Shawn Michael Sanicola |
| First Address | Pewaukee, WI 53072-5591 |
| Second Address | Waukesha, WI 53188-1605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 07/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1316994924 | NPI GROUP (01) | WI |
| 1457356305 | INDIVIDUAL NPI (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.