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Organization
PHYSICIAN AND FEET SPECIALIST, PLLC
Active
Organization
PHYSICIAN AND FEET SPECIALIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHITEUS M.D. (OWNER)
(313) 834-4407
Entity
Organization
Contact information
Practice address
10101 FENKELL ST, SUITE B, DETROIT, MI 48238-1645
(313) 834-4407
Mailing address
PO BOX 760127, SUITE B, LATHRUP VILLAGE, MI 48076-0127
(313) 834-4407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301406556
MI
Other
Enumeration date
08/03/2009
Last updated
08/18/2009
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