Provider Demographics
NPI:1700112984
Name:FOLEY, WILLIAM JUDE I (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JUDE
Last Name:FOLEY
Suffix:I
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 1:741 GLENVIEW AVE
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-3358
Mailing Address - Country:US
Mailing Address - Phone:414-477-1269
Mailing Address - Fax:
Practice Address - Street 1:741 GLENVIEW AVE
Practice Address - Street 2:APARTMENT 1
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-3358
Practice Address - Country:US
Practice Address - Phone:414-477-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12461-20174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist