# RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1871655381
- **Authorized official:** DR. DANIEL DALE MICHAELS DPM (OWNER)
- **Authorized official phone:** (301) 797-8554

## Contact information

- **Practice address:** 1150 PROFESSIONAL CT, SUITE C, HAGERSTOWN, MD 21740-5852
- **Practice address phone:** (301) 797-8554
- **Practice address fax:** (301) 797-8281
- **Mailing address:** PO BOX 269, FREDERICK, MD 21705-0269
- **Mailing address phone:** (301) 797-8554
- **Mailing address fax:** (301) 797-9228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 01/09/2013
