institution
Lake Podiatry, Pc
Foot & Ankle Surgery Podiatrist in South Haven, Michigan
NPI 1063449346

Lake Podiatry, Pc is a Foot & Ankle Surgery Podiatrist based in South Haven, MI and is specialized in Foot & Ankle Surgery. Lake Podiatry, Pc practices in South Haven, MI. The NPI Number for Lake Podiatry, Pc is 1063449346 and holds a License No. 5901002029 (Michigan).

The current practice location address for Lake Podiatry, Pc is 10570 Blue Star M Hwy, South Haven, MI and can be reached out via phone at 269-978-3385 and via fax at 269-978-2711.

Location: 10570 Blue Star M Hwy, South Haven, MI, 49090-8923
institution
Provider Profile Details
NPI Number
1063449346
Provider Name
Lake Podiatry, Pc
Credential
Provider Entity Type
Organization
Address
10570 Blue Star M Hwy, South Haven, MI, 49090-8923
Phone Number
269-978-3385
Fax Number
269-978-2711
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4952336 05 MI
DF2298 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
10570 Blue Star M Hwy
City
State
Zip
49090-8923
Phone Number
269-978-3385
Fax Number
269-978-2711
person
Provider Business Mailing Address Details
Address
10570 Blue Star M Hwy
City
State
Zip
49090-8923
Phone Number
269-978-3385
Fax Number
269-978-2711
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002029 (Michigan)
Definition
Definition to come...
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