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Organization
MICHIGAN ASSOCIATES IN PODIATRIC MEDICINE AND SURGERY PC
Active
Organization
MICHIGAN ASSOCIATES IN PODIATRIC MEDICINE AND SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA M JEGLA (OFFICE MANAGER)
(248) 674-2575
Entity
Organization
Contact information
Practice address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2575
(248) 674-0577
Mailing address
5379 PLEASANT LAKE DR, WEST BLOOMFIELD, MI 48322-4715
(248) 674-2575
(248) 674-0577
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000581
MI
Other
Enumeration date
03/22/2007
Last updated
10/19/2010
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