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Kevin E Till Dpm Pc
Podiatrist in Detroit, Michigan
NPI 1164592820

Kevin E Till Dpm Pc is a Podiatrist based in Detroit, MI. Kevin E Till Dpm Pc practices in Detroit, MI. The NPI Number for Kevin E Till Dpm Pc is 1164592820 and holds a License No. 5901001067 (Michigan).

The current practice location address for Kevin E Till Dpm Pc is 4160 John R St, Detroit, MI and can be reached out via phone at 313-831-6442 and via fax at 313-831-6513.

Location: 4160 John R St, Detroit, MI, 48201-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164592820
Provider Name
Kevin E Till Dpm Pc
Credential
Provider Entity Type
Organization
Address
4160 John R St, Detroit, MI, 48201-2020
Phone Number
313-831-6442
Fax Number
313-831-6513
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
133113886 05 MI
institution
Provider Business Practice Location Address Details
Address
4160 John R St
City
Detroit
State
Michigan
Zip
48201-2020
Phone Number
313-831-6442
Fax Number
313-831-6513
person
Provider Business Mailing Address Details
Address
4160 John R St
City
Detroit
State
Michigan
Zip
48201-2020
Phone Number
313-831-6442
Fax Number
313-831-6513
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5901001067 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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