institution
Lakeview Podiatry Assoc P C
Foot & Ankle Surgery Podiatrist in Southfield, Michigan
NPI 1518992536

Lakeview Podiatry Assoc P C is a Foot & Ankle Surgery Podiatrist based in Southfield, MI and is specialized in Foot & Ankle Surgery. Lakeview Podiatry Assoc P C practices in Southfield, MI. The NPI Number for Lakeview Podiatry Assoc P C is 1518992536 and holds a License No. 5901000690 (Michigan).

The current practice location address for Lakeview Podiatry Assoc P C is 22250 Providence Dr Ste 100, Southfield, MI and can be reached out via phone at 248-424-8637 and via fax at 248-424-8663.

Location: 22250 Providence Dr Ste 100, Southfield, MI, 48075-6209
institution
Provider Profile Details
NPI Number
1518992536
Provider Name
Lakeview Podiatry Assoc P C
Credential
Provider Entity Type
Organization
Address
22250 Providence Dr Ste 100, Southfield, MI, 48075-6209
Phone Number
248-424-8637
Fax Number
248-424-8663
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0M07610 01 MI MEDICARE
0H2788 01 MI BCBSM
4275305 05 MI
T34213 01 MI HAP PROVIDER #
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 100
City
State
Zip
48075-6209
Phone Number
248-424-8637
Fax Number
248-424-8663
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 100
City
State
Zip
48075-6209
Phone Number
248-424-8637
Fax Number
248-424-8663
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901000690 (Michigan)
Definition
Definition to come...
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