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Gfc Of Southeastern Michigan, Pc
Prosthetic/Orthotic Supplier in Detroit, Michigan
NPI 1316191679

Gfc Of Southeastern Michigan, Pc is a Prosthetic/Orthotic Supplier based in Detroit, MI. Gfc Of Southeastern Michigan, Pc practices in Detroit, MI. The NPI Number for Gfc Of Southeastern Michigan, Pc is 1316191679 and holds a License No. 5901002275 (Michigan).

The current practice location address for Gfc Of Southeastern Michigan, Pc is 15 E Kirby St, Detroit, MI and can be reached out via phone at 313-833-3090 and via fax at 313-833-7843. You can also correspond with Gfc Of Southeastern Michigan, Pc through the mailing address at 15 E KIRBY ST, DETROIT, MI - 48202-4047 (mailing address contact number: 313-833-3090).

Location: 15 E Kirby St, Detroit, MI, 48202-4047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316191679
Provider Name
Gfc Of Southeastern Michigan, Pc
Credential
Provider Entity Type
Organization
Address
15 E Kirby St, Detroit, MI, 48202-4047
Phone Number
313-833-3090
Fax Number
313-833-7843
Provider Enumeration Date
11/12/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417136029 05 MI
82028141 01 MI PROCARE
1316191679 01 MI MEDICARE NPI
institution
Provider Business Practice Location Address Details
Address
15 E Kirby St
City
Detroit
State
Michigan
Zip
48202-4047
Phone Number
313-833-3090
Fax Number
313-833-7843
person
Provider Business Mailing Address Details
Address
15 E Kirby St
City
Detroit
State
Michigan
Zip
48202-4047
Phone Number
313-833-3090
Fax Number
313-833-7843
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
5901002275 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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