# EAST SIDE FOOT & ANKLE CLINIC PC

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

## Provider details

- **NPI number:** 1801910229
- **Authorized official:** DR. DAVID BERLIN D.P.M. (OWNER)
- **Authorized official phone:** (586) 776-7000

## Contact information

- **Practice address:** 22301 GREATER MACK AVE, SUITE 3, SAINT CLAIR SHORES, MI 48080-2376
- **Practice address phone:** (586) 776-7000
- **Practice address fax:** (586) 776-7003
- **Mailing address:** 22301 GREATER MACK AVE, SUITE 3, SAINT CLAIR SHORES, MI 48080-2376
- **Mailing address phone:** (586) 776-7000
- **Mailing address fax:** (586) 776-7003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001005 | MI | Yes |
| 332BC3200X | Customized Equipment (DME) | 5901001005 | MI | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 09/30/2025