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Footspecialist Pc
Foot & Ankle Surgery Podiatrist in Warren, Michigan
NPI 1992986657

Footspecialist Pc is a Foot & Ankle Surgery Podiatrist based in Farmington, MI and is specialized in Foot & Ankle Surgery. Footspecialist Pc practices in Warren, MI. The NPI Number for Footspecialist Pc is 1992986657 and holds a License No. 5901000671 (Michigan).

The current practice location address for Footspecialist Pc is 11885 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-755-4242 and via fax at 586-755-6231.

Location: 11885 E 12 Mile Rd, Warren, MI, 48336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992986657
Provider Name
Footspecialist Pc
Credential
Provider Entity Type
Organization
Address
11885 E 12 Mile Rd, Warren, MI, 48336
Phone Number
586-755-4242
Fax Number
586-755-6231
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073253 05 MI
institution
Provider Business Practice Location Address Details
Address
11885 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3474
Phone Number
586-755-4242
Fax Number
586-755-6231
person
Provider Business Mailing Address Details
Address
11885 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3474
Phone Number
586-755-4242
Fax Number
586-755-6231
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
5901000671 (Michigan)
Definition
Definition to come...
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