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Organization
MEDICAL CENTER FOOT AND ANKLE PC
Active
Organization
MEDICAL CENTER FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA STULL (BILLING DEPARTMENT)
(586) 574-0500
Entity
Organization
Contact information
Practice address
39000 7 MILE RD STE 2100, LIVONIA, MI 48152-1006
(734) 485-0060
Mailing address
39000 7 MILE RD STE 2100, LIVONIA, MI 48152-1006
(734) 485-0060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CK000960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1654321
—
MI
05
—
2932693
—
MI
05
—
2932700
—
MI
01
—
480Q245670
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/22/2006
Last updated
04/08/2025
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