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Allen Park Footcare Specialist Pllc
Prosthetic/Orthotic Supplier in Allen Park, Michigan
NPI 1790883056

Allen Park Footcare Specialist Pllc is a Prosthetic/Orthotic Supplier based in Allen Park, MI. Allen Park Footcare Specialist Pllc practices in Allen Park, MI. The NPI Number for Allen Park Footcare Specialist Pllc is 1790883056 and holds a License No. 5901001699 (Michigan).

The current practice location address for Allen Park Footcare Specialist Pllc is 19250 Ecorse Rd, Allen Park, MI and can be reached out via phone at 313-294-9700 and via fax at 313-294-9700.

Location: 19250 Ecorse Rd, Allen Park, MI, 48101-2260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790883056
Provider Name
Allen Park Footcare Specialist Pllc
Credential
Provider Entity Type
Organization
Address
19250 Ecorse Rd, Allen Park, MI, 48101-2260
Phone Number
313-294-9700
Fax Number
313-294-9700
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
133153308 05 MI
4319060001 01 MI MEDICARE DME
0H20650 01 MI BCBSMI DME
P00102057 01 MI RAILROAD MEDICARE
0H218370 01 MI BCBSMI
institution
Provider Business Practice Location Address Details
Address
19250 Ecorse Rd
City
Allen Park
State
Michigan
Zip
48101-2260
Phone Number
313-294-9700
Fax Number
313-294-9700
person
Provider Business Mailing Address Details
Address
19250 Ecorse Rd
City
Allen Park
State
Michigan
Zip
48101-2260
Phone Number
313-294-9700
Fax Number
313-294-9700
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
5901001699 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5901001699 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
5901001699 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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