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Organization
PREFERRED PODIATRY GROUP OF MICHIGAN PC
Active
Organization
PREFERRED PODIATRY GROUP OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MONIZ (DIRECTOR OF ENROLLMENT)
(800) 841-5200
Entity
Organization
Contact information
Practice address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(847) 502-4898
Mailing address
PO BOX 772294, DETROIT, MI 48277-2294
(847) 504-5000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/29/2019
Last updated
11/18/2025
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