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Organization
GREAT LAKES FOOT & ANKLE INSTITUTE PLLC
Active
Organization
GREAT LAKES FOOT & ANKLE INSTITUTE PLLC
Active
Other names
Great Lakes Foot & Ankle Institute PC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FRASCONE DPM (OWNER)
(586) 725-3444
Entity
Organization
Contact information
Practice address
32743 23 MILE RD STE 110, CHESTERFIELD, MI 48047-2082
(586) 725-3444
(586) 725-0984
Mailing address
9400 S CICERO AVE STE 100, OAK LAWN, IL 60453-2536
(708) 424-3201
(708) 424-5001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
NULL
2086S0102X
Surgical Critical Care Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/09/2006
Last updated
05/17/2025
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