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Dr. Bryan C West, DPM
Podiatrist in Roseville, Michigan
NPI 1407826241

Bryan C West is a Podiatrist based in Roseville, MI. Bryan C West practices in Roseville, MI and has the professional credentials of DPM. The NPI Number for Bryan C West is 1407826241 and holds a License No. BW002032 (Michigan).

The current practice location address for Bryan C West is 20905 E 12 Mile Rd, Roseville, MI and can be reached out via phone at 586-772-3500 and via fax at 586-772-6540.

Location: 20905 E 12 Mile Rd, Roseville, MI, 48066-6501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407826241
Provider Name
Bryan C West
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20905 E 12 Mile Rd, Roseville, MI, 48066-6501
Phone Number
586-772-3500
Fax Number
586-772-6540
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4717640 05 MI
38-2777871 01 TAX ID #
0007767468 01 MI AETNA
149092 01 MI GREAT LAKE HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
20905 E 12 Mile Rd
City
Roseville
State
Michigan
Zip
48066-6501
Phone Number
586-772-3500
Fax Number
586-772-6540
person
Provider Business Mailing Address Details
Address
20905 E 12 Mile Rd
City
Roseville
State
Michigan
Zip
48066-6501
Phone Number
586-772-3500
Fax Number
586-772-6540
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
BW002032 (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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