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Organization
EXCEL FOOTCARE
Active
Organization
EXCEL FOOTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANTALE E BOTHUELL D.P.M. (CEO)
(313) 384-7300
Entity
Organization
Contact information
Practice address
2424 FORDHAM ST, KEEGO HARBOR, MI 48320-1412
(313) 384-7300
(248) 747-4014
Mailing address
2424 FORDHAM ST, KEEGO HARBOR, MI 48320-1412
(313) 384-7300
(248) 747-4014
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002140
MI
Other
Enumeration date
02/16/2010
Last updated
03/21/2013
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