Provider Demographics
NPI:1003891961
Name:KALKER, ALAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:KALKER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6255 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3485
Mailing Address - Country:US
Mailing Address - Phone:608-831-8086
Mailing Address - Fax:608-442-0126
Practice Address - Street 1:6255 UNIVERSITY AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3485
Practice Address - Country:US
Practice Address - Phone:608-831-8086
Practice Address - Fax:608-442-0126
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI475213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43201600Medicaid
WI5043250001Medicare NSC
T62367Medicare UPIN