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Organization
STEP FORWARD PODIATRY PC
Active
Organization
STEP FORWARD PODIATRY PC
Active
Other names
Step Forward Podiatry PC
Organization subpart
No
Provider details
NPI number
Authorized official
EVA GARCIA (CREDENTIALING SPECIALIST)
(313) 574-2266
Entity
Organization
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 575-6454
Mailing address
27629 CHATSWORTH ST, FARMINGTON HILLS, MI 48334-1821
(313) 574-2266
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/19/2023
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