# SHELBY FOOT & ANKLE PLLC

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

## Provider details

- **NPI number:** 1578993358
- **Authorized official:** RONALD MARTIN DPM (OWNER)
- **Authorized official phone:** (586) 580-3729

## Contact information

- **Practice address:** 4091 W VIENNA RD, CLIO, MI 48420-9437
- **Practice address phone:** (810) 687-7350
- **Practice address fax:** (810) 687-7360
- **Mailing address:** 50505 SCHOENHERR RD, SUITE 230, SHELBY TOWNSHIP, MI 48315-3140
- **Mailing address phone:** (586) 580-3728
- **Mailing address fax:** (586) 580-3769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | RM002147 | MI | Yes |

## Other

- **Enumeration date:** 11/15/2013
- **Last updated:** 11/15/2013