# STEP FORWARD PODIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Step Forward Podiatry PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316715451
- **Authorized official:** EVA GARCIA (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (313) 574-2266

## Contact information

- **Practice address:** 10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
- **Practice address phone:** (313) 575-6454
- **Mailing address:** 27629 CHATSWORTH ST, FARMINGTON HILLS, MI 48334-1821
- **Mailing address phone:** (313) 574-2266

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/19/2023