# MICHIANA FOOT CARE CLINIC L.L.C

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

## Provider details

- **NPI number:** 1346510500
- **Authorized official:** ANTHONY COLE D.P.M (MEMBER)
- **Authorized official phone:** (708) 738-2778

## Contact information

- **Practice address:** 723 E JEFFERSON BLVD, SOUTH BEND, IN 46617-2902
- **Practice address phone:** (708) 738-2778
- **Mailing address:** 723 E JEFFERSON BLVD, SOUTH BEND, IN 46617-2902
- **Mailing address phone:** (708) 738-2778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07001107A | IN | Yes |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 01/05/2012