# MID-MICHIGAN PODIATRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023282373
- **Authorized official:** DR. INGRID M STINES DPM (PRESIDENT)
- **Authorized official phone:** (517) 913-3855

## Contact information

- **Practice address:** 1540 LAKE LANSING RD, SUITE 102, LANSING, MI 48912-3756
- **Practice address phone:** (517) 913-3855
- **Practice address fax:** (517) 913-4020
- **Mailing address:** 3520 OKEMOS RD STE 6, PMB 115, OKEMOS, MI 48864-5943
- **Mailing address phone:** (517) 913-3855
- **Mailing address fax:** (517) 913-4020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001340 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 12/02/2008
