Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN MICHAEL SANICOLA, DPM
ActiveDR. SHAWN MICHAEL SANICOLA, DPM is a Podiatrist healthcare provider located in PEWAUKEE, Wisconsin. NPI 1457356305 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PEWAUKEE, WI
Registration Details
- NPI Number
- 1457356305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.199125632659 yrs)
- Last Updated
- Feb 16, 2022
- Licenses
-
883025 (WI)883025 (WI)883025 (WI)
Practice Information
- Address
-
2835 N GRANDVIEW BLVD STE 300PEWAUKEE, WI, 530725591Browse WI providers · Browse ZIP 53072
- Phone
- 2625423779
- Fax
- 2625424428
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Sports Medicine Podiatrist
Other Podiatrist Providers in PEWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| JEREMY MICHAEL PHILIPSEN | DPM | 1740773613 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.