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Organization
FOOT AND ANKLE SPECIALISTS OF MICHIGAN PLLC
Active
Organization
FOOT AND ANKLE SPECIALISTS OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SMITH (MANAGER)
(586) 574-0500
Entity
Organization
Contact information
Practice address
27901 WOODWARD AVE, SUITE 110, BERKLEY, MI 48072-0919
(248) 545-0100
Mailing address
27901 WOODWARD AVE, SUITE 110, BERKLEY, MI 48072-0919
(248) 545-0100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F335300
BCBS
MI
01
—
5987390001
DME
MI
01
—
CK000960
LICENSE
MI
01
—
DG2153
MEDICARE RAILROAD
MI
01
—
JF001355
LICENSE
MI
01
—
LH000829
LICENSE
MI
01
—
MS000843
LICENSE
MI
Enumeration date
10/12/2006
Last updated
02/01/2010
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