# COMMUNITY FOOT CENTER PC

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

## Provider details

- **NPI number:** 1144453770
- **Authorized official:** DR. GARY ALAN WASIAK DPM (PRESIDENT)
- **Authorized official phone:** (248) 478-6363

## Contact information

- **Practice address:** 31450 7 MILE RD, LIVONIA, MI 48152-1374
- **Practice address phone:** (248) 478-6363
- **Practice address fax:** (248) 478-9779
- **Mailing address:** 2997 E HIGHLAND RD, HIGHLAND, MI 48356-2811
- **Mailing address phone:** (248) 887-3729
- **Mailing address fax:** (248) 889-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901000651 | MI | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009