institution
Great Lakes Foot Care P.c.
Foot & Ankle Surgery Podiatrist in Pontiac, Michigan
NPI 1528330420

Great Lakes Foot Care P.c. is a Foot & Ankle Surgery Podiatrist based in Pontiac, MI and is specialized in Foot & Ankle Surgery. Great Lakes Foot Care P.c. practices in Pontiac, MI. The NPI Number for Great Lakes Foot Care P.c. is 1528330420 and holds a License No. 5901001138 (Michigan).

The current practice location address for Great Lakes Foot Care P.c. is 1701 Baldwin Ave, Pontiac, MI and can be reached out via phone at 248-338-3668 and via fax at 248-338-0136.

Location: 1701 Baldwin Ave, Pontiac, MI, 48340-3412
institution
Provider Profile Details
NPI Number
1528330420
Provider Name
Great Lakes Foot Care P.c.
Credential
Provider Entity Type
Organization
Address
1701 Baldwin Ave, Pontiac, MI, 48340-3412
Phone Number
248-338-3668
Fax Number
248-338-0136
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1536220 05 MI
5630125 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1701 Baldwin Ave
City
State
Zip
48340-3412
Phone Number
248-338-3668
Fax Number
248-338-0136
person
Provider Business Mailing Address Details
Address
1701 Baldwin Ave
City
State
Zip
48340-3412
Phone Number
248-338-3668
Fax Number
248-338-0136
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901001138 (Michigan)
Definition
Definition to come...
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