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Organization
PODIATRY PLUS PC
Active
Organization
PODIATRY PLUS PC
Active
Other names
Podiatry Plus PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL BAILEY (GENERAL MANAGER)
(517) 321-9303
Entity
Organization
Contact information
Practice address
2158 COMMONS PKWY, OKEMOS, MI 48864-3986
(517) 349-6855
Mailing address
2158 COMMONS PARKWAY AVE, OKEMOS, MI 48842
(517) 349-6855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
JM001350
MI
213E00000X
Podiatrist
LN001085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245239631
IND UPIN
MI
01
—
1619976073
IND NPI
MI
05
—
1710897
—
MI
05
—
1743397
—
MI
Enumeration date
04/15/2010
Last updated
12/03/2010
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