person
Dr. James M Pouillon, DPM
Foot & Ankle Surgery Podiatrist in Grandville, Michigan
NPI 1710070883

James M Pouillon is a Foot & Ankle Surgery Podiatrist based in Grandville, MI and is specialized in Foot & Ankle Surgery. James M Pouillon practices in Grandville, MI and has the professional credentials of DPM. The NPI Number for James M Pouillon is 1710070883 and holds a License No. 5901002014 (Michigan).

The current practice location address for James M Pouillon is 3050 Ivanrest Ave Sw Ste E, Grandville, MI and can be reached out via phone at 616-406-0102 and via fax at 616-406-0105.

Location: 3050 Ivanrest Ave Sw Ste E, Grandville, MI, 49418-1400
person
Provider Profile Details
NPI Number
1710070883
Provider Name
James M Pouillon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3050 Ivanrest Ave Sw Ste E, Grandville, MI, 49418-1400
Phone Number
616-406-0102
Fax Number
616-406-0105
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4548420 05 MI
institution
Provider Business Practice Location Address Details
Address
3050 Ivanrest Ave Sw Ste E
City
State
Zip
49418-1400
Phone Number
616-406-0102
Fax Number
616-406-0105
person
Provider Business Mailing Address Details
Address
3050 Ivanrest Ave Sw Ste E
City
State
Zip
49418-1400
Phone Number
616-406-0102
Fax Number
616-406-0105
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002014 (Michigan)
Definition
Definition to come...
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