# GARY P. CERESNIE, D.P.M., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** About Feet Ankle and Foot Center of Brighton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962425934
- **Authorized official:** DR. GARY P. CERESNIE D.P.M. (PRESIDENT)
- **Authorized official phone:** (810) 225-3338

## Contact information

- **Practice address:** 7990 GRAND RIVER RD, SUITE D, BRIGHTON, MI 48114-7326
- **Practice address phone:** (810) 225-3338
- **Practice address fax:** (810) 225-3668
- **Mailing address:** 7990 GRAND RIVER RD, SUITE D, BRIGHTON, MI 48114-7326
- **Mailing address phone:** (810) 225-3338
- **Mailing address fax:** (810) 225-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001780 | MI | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/11/2008