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Organization
SHORES FOOT AND ANKLE CENTER LTD.
Active
Organization
SHORES FOOT AND ANKLE CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND J FARRAR D.P.M. (PRESIDENT)
(586) 484-7277
Entity
Organization
Contact information
Practice address
22719 GARFIELD ST, SAINT CLAIR SHORES, MI 48082-1857
(586) 294-7250
(586) 294-7251
Mailing address
22719 GARFIELD ST, SAINT CLAIR SHORES, MI 48082-1857
(586) 484-7277
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
10/12/2023
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