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Organization
MICHIGAN FOOT & ANKLE INSTITUTE PC
Active
Organization
MICHIGAN FOOT & ANKLE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND JOSEPH KOWALCHICK JR. DPM (PRESIDENT)
(586) 228-2255
Entity
Organization
Contact information
Practice address
44250 GARFIELD RD, SUITE 160, CLINTON TOWNSHIP, MI 48038-7421
(586) 228-2255
(586) 228-2740
Mailing address
44250 GARFIELD RD, SUITE 160, CLINTON TOWNSHIP, MI 48038-7421
(586) 228-2255
(586) 228-2740
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
EK001446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E015510
BLUE CROSS BLUE SHIELD MI
MI
01
—
123659200
WORKERS COMPENSATION
MI
01
—
DB9371
RAILROAD MEDICARE
MI
Enumeration date
07/11/2006
Last updated
05/13/2015
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