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Organization
NORTHFIELD PODIATRY ASSOCIATES P C
Active
Organization
NORTHFIELD PODIATRY ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN G HOFFMEISTER D.P.M. (VICE PRESIDENT)
(616) 364-8495
Entity
Organization
Contact information
Practice address
2501 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49505-3700
(616) 364-8495
(616) 364-1955
Mailing address
2501 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49505-3700
(616) 364-8495
(616) 364-1955
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001390
MI
335E00000X
Prosthetic/Orthotic Supplier
5901001390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH001390
PIN
—
Enumeration date
12/21/2006
Last updated
07/29/2021
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