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Organization
FOOT AND ANKLE INSTITUTE OF MICHIGAN PLLC
Active
Organization
FOOT AND ANKLE INSTITUTE OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TREACY COLLINS (OFFICE MANAGER)
(248) 737-0780
Entity
Organization
Contact information
Practice address
6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 48322-3405
(248) 737-0780
(248) 737-0850
Mailing address
6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 48322-3405
(248) 737-0780
(248) 737-0850
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F320620
BLUE CROSS PROVIDER
MI
01
—
5099000001
MEDICARE SUPPLIER NUMBER
MI
Enumeration date
08/09/2006
Last updated
01/06/2009
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