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Dr. Thomas Daniel Paholak, DPM
Podiatrist in Huntington Woods, Michigan
NPI 1710934955

Thomas Daniel Paholak is a Podiatrist based in Chicago, MI. Thomas Daniel Paholak practices in Huntington Woods, MI and has the professional credentials of DPM. The NPI Number for Thomas Daniel Paholak is 1710934955 and holds a License No. 016004340 (Michigan).

The current practice location address for Thomas Daniel Paholak is 12786 Lasalle Ln, Huntington Woods, MI and can be reached out via phone at 248-572-3900 and via fax at 248-572-1277.

Location: 12786 Lasalle Ln, Huntington Woods, MI, 60659-1283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710934955
Provider Name
Thomas Daniel Paholak
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
12786 Lasalle Ln, Huntington Woods, MI, 60659-1283
Phone Number
248-572-3900
Fax Number
248-572-1277
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-004340 01 IL IL STATE LICENSE
0001623503 01 IL BCBS
016-004340 05 IL
480027688 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
12786 Lasalle Ln
City
Huntington Woods
State
Michigan
Zip
48070-1020
Phone Number
248-572-3900
Fax Number
248-572-1277
person
Provider Business Mailing Address Details
Address
12786 Lasalle Ln
City
Huntington Woods
State
Michigan
Zip
48070-1020
Phone Number
248-572-3900
Fax Number
248-572-1277
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016-004340 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
016004340 (Illinois)
Definition
Definition to come...
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