# MICHIGAN ASSOCIATES IN PODIATRIC MEDICINE AND SURGERY PC

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

## Provider details

- **NPI number:** 1538285036
- **Authorized official:** MRS. DINA M JEGLA (OFFICE MANAGER)
- **Authorized official phone:** (248) 674-2575

## Contact information

- **Practice address:** 3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
- **Practice address phone:** (248) 674-2575
- **Practice address fax:** (248) 674-0577
- **Mailing address:** 5379 PLEASANT LAKE DR, WEST BLOOMFIELD, MI 48322-4715
- **Mailing address phone:** (248) 674-2575
- **Mailing address fax:** (248) 674-0577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 000581 | MI | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 10/19/2010