institution
Omni Footcare Associates, Pc
Foot & Ankle Surgery Podiatrist in Sterling Heights, Michigan
NPI 1689862666

Omni Footcare Associates, Pc is a Foot & Ankle Surgery Podiatrist based in Sterling Heights, MI and is specialized in Foot & Ankle Surgery. Omni Footcare Associates, Pc practices in Sterling Heights, MI. The NPI Number for Omni Footcare Associates, Pc is 1689862666 and holds a License No. AW001164 (Michigan).

The current practice location address for Omni Footcare Associates, Pc is 13811 19 Mile Rd, Sterling Heights, MI and can be reached out via phone at 586-247-0840 and via fax at 586-247-7668.

Location: 13811 19 Mile Rd, Sterling Heights, MI, 48313-2705
institution
Provider Profile Details
NPI Number
1689862666
Provider Name
Omni Footcare Associates, Pc
Credential
Provider Entity Type
Organization
Address
13811 19 Mile Rd, Sterling Heights, MI, 48313-2705
Phone Number
586-247-0840
Fax Number
586-247-7668
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83069B 01 MI HAP
AW001164 01 MI STATE LICENSE
870453 01 MI UNITED HEALTHCARE
C7479 01 MI M CARE
4662672 01 MI AETNA
1710645 05 MI
480E021060 01 MI BCBSM
4885050380 01 MI BCBS
DE4368 01 MI RAILROAD MEDICARE PART B
104435 01 MI GREAT LAKES
institution
Provider Business Practice Location Address Details
Address
13811 19 Mile Rd
City
State
Zip
48313-2705
Phone Number
586-247-0840
Fax Number
586-247-7668
person
Provider Business Mailing Address Details
Address
13811 19 Mile Rd
City
State
Zip
48313-2705
Phone Number
586-247-0840
Fax Number
586-247-7668
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
AW001164 (Michigan)
Definition
Definition to come...
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