# FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639907165
- **Legal business name:** FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
- **Authorized official:** LOWELL SCOTT WEIL DPM (EXECUTIVE CHAIRMAN)
- **Authorized official phone:** (847) 390-7666

## Contact information

- **Practice address:** 102 S 3RD ST STE 400, CARSON CITY, MI 48811-5115
- **Practice address phone:** (989) 584-3916
- **Practice address fax:** (847) 390-9345
- **Mailing address:** 2144 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6117
- **Mailing address phone:** (616) 281-0666
- **Mailing address fax:** (224) 220-9345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 08/09/2024