institution
Tawas Foot Clinic P.c.
Primary Podiatric Medicine Podiatrist in Tawas City, Michigan
NPI 1528094489

Tawas Foot Clinic P.c. is a Primary Podiatric Medicine Podiatrist based in Tawas City, MI and is specialized in Primary Podiatric Medicine. Tawas Foot Clinic P.c. practices in Tawas City, MI. The NPI Number for Tawas Foot Clinic P.c. is 1528094489 and holds a License No. 5901001133 (Michigan).

The current practice location address for Tawas Foot Clinic P.c. is 166 M 55, Tawas City, MI and can be reached out via phone at 989-362-6558 and via fax at 989-362-7168.

Location: 166 M 55, Tawas City, MI, 48764-0178
institution
Provider Profile Details
NPI Number
1528094489
Provider Name
Tawas Foot Clinic P.c.
Credential
Provider Entity Type
Organization
Address
166 M 55, Tawas City, MI, 48764-0178
Phone Number
989-362-6558
Fax Number
989-362-7168
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4310389 05 MI
480026004 01 MI PALMETTO GBA-RR MEDICARE
71020000C51005 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
166 M 55
City
State
Zip
48763
Phone Number
989-362-6558
Fax Number
989-362-7168
person
Provider Business Mailing Address Details
Address
166 M 55
City
State
Zip
48763
Phone Number
989-362-6558
Fax Number
989-362-7168
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
5901001133 (Michigan)
Definition
Definition to come...
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