# PREMIER FOOT & ANKLE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER FOOT & ANKLE PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316594765
- **Legal business name:** PREMIER FOOT & ANKLE PLLC
- **Authorized official:** STEFANO MATTHEW MILITELLO (OWNER)
- **Authorized official phone:** (586) 948-9417

## Contact information

- **Practice address:** 101 ROCHDALE DR S STE C, ROCHESTER HILLS, MI 48309-2273
- **Practice address phone:** (586) 948-9417
- **Practice address fax:** (586) 846-3910
- **Mailing address:** 17900 23 MILE RD STE 204, MACOMB, MI 48044-1161
- **Mailing address phone:** (586) 948-9417
- **Mailing address fax:** (586) 846-3910

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/02/2022