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Organization
FAMILY FOOT CLINIC P.C.
Active
Organization
FAMILY FOOT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN HAMMER D.P.M. (PRESIDENT)
(906) 863-5585
Entity
Organization
Contact information
Practice address
4320 10TH ST, MENOMINEE, MI 49858-1314
(906) 863-5585
(906) 863-8420
Mailing address
4320 10TH ST, MENOMINEE, MI 49858-1314
(906) 863-5585
(906) 863-8420
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001935
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090003914
WEA PRIVATE INSURANCE
WI
05
—
4099852
—
MI
05
—
43226700
—
WI
01
—
4855525230
BC BS PROVIDER NUMBER
MI
Enumeration date
08/24/2006
Last updated
12/28/2009
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