Provider Demographics
NPI:1396014080
Name:FOLTZ, ALEXANDER STEWART (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:STEWART
Last Name:FOLTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 BELLAGIO DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-6713
Mailing Address - Country:US
Mailing Address - Phone:715-573-1163
Mailing Address - Fax:715-359-1781
Practice Address - Street 1:3304 BELLAGIO DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-6713
Practice Address - Country:US
Practice Address - Phone:715-573-1163
Practice Address - Fax:715-359-1781
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-24
Last Update Date:2011-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17172207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery