institution
Shores Podiatry Associates, P.c.
Foot & Ankle Surgery Podiatrist in Roseville, Michigan
NPI 1447204151

Shores Podiatry Associates, P.c. is a Foot & Ankle Surgery Podiatrist based in Roseville, MI and is specialized in Foot & Ankle Surgery. Shores Podiatry Associates, P.c. practices in Roseville, MI. The NPI Number for Shores Podiatry Associates, P.c. is 1447204151 and holds a License No. (Michigan).

The current practice location address for Shores Podiatry Associates, P.c. 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
institution
Provider Profile Details
NPI Number
1447204151
Provider Name
Shores Podiatry Associates, P.c.
Credential
Provider Entity Type
Organization
Address
20905 E 12 Mile Rd, Roseville, MI, 48066-6501
Phone Number
586-772-3500
Fax Number
586-772-6540
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0E07641 01 MI BCBS
CE4140 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
20905 E 12 Mile Rd
City
State
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
State
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
Foot & Ankle Surgery
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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