Long Lake Podiatry Pc is a Customized Equipment (DME) based in Troy, MI and is specialized in Customized Equipment. Long Lake Podiatry Pc practices in Troy, MI. The NPI Number for Long Lake Podiatry Pc is 1326223132 and holds a License No. 5901001005 (Michigan).
The current practice location address for Long Lake Podiatry Pc is 2914 E Long Lake Rd, Troy, MI and can be reached out via phone at 248-528-0709 and via fax at 248-528-1807. You can also correspond with Long Lake Podiatry Pc through the mailing address at 2914 E LONG LAKE RD, TROY, MI - 48085-3780 (mailing address contact number: 248-528-0709).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00245692 | 01 | MI | RAILROAD MEDICARE PTAN |
| 5631470 | 01 | MI | BCROSS PIN |
| 1634294 | 05 | MI | |
| 89594B | 01 | MI | HAP |
| 0005335144 | 01 | MI | AETNA |
| NC025717 | 01 | MI | PPOM PROVIDER CODE |
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