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Dr. Anthony Marc Mastrogiacomo, DPM
Foot & Ankle Surgery Podiatrist in South Lyon, Michigan
NPI 1720055387

Anthony Marc Mastrogiacomo is a Foot & Ankle Surgery Podiatrist based in South Lyon, MI and is specialized in Foot & Ankle Surgery. Anthony Marc Mastrogiacomo practices in South Lyon, MI and has the professional credentials of DPM. The NPI Number for Anthony Marc Mastrogiacomo is 1720055387 and holds a License No. AM001831 (Michigan).

The current practice location address for Anthony Marc Mastrogiacomo is 22245 Pontiac Trl, South Lyon, MI and can be reached out via phone at 248-486-8886 and via fax at 248-486-8887.

Location: 22245 Pontiac Trl, South Lyon, MI, 48178-1639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720055387
Provider Name
Anthony Marc Mastrogiacomo
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
22245 Pontiac Trl, South Lyon, MI, 48178-1639
Phone Number
248-486-8886
Fax Number
248-486-8887
Provider Enumeration Date
03/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4619433 05 MI
institution
Provider Business Practice Location Address Details
Address
22245 Pontiac Trl
City
South Lyon
State
Michigan
Zip
48178-1639
Phone Number
248-486-8886
Fax Number
248-486-8887
person
Provider Business Mailing Address Details
Address
22245 Pontiac Trl
City
South Lyon
State
Michigan
Zip
48178-1639
Phone Number
248-486-8886
Fax Number
248-486-8887
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
AM001831 (Michigan)
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 & Ankle Surgery
Taxonomy
213ES0103X
License No.
AM001831 (Michigan)
Definition
Definition to come...
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