# MINI INVASIVE PODIATRY PLC

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

## Provider details

- **NPI number:** 1962968719
- **Authorized official:** GHASSAN S ATEYAH DPM (OWNER)
- **Authorized official phone:** (586) 303-6195

## Contact information

- **Practice address:** 1607 E BIG BEAVER RD STE 110, TROY, MI 48083-2067
- **Practice address phone:** (586) 434-3444
- **Practice address fax:** (586) 434-3445
- **Mailing address:** 1607 E BIG BEAVER RD STE 110, TROY, MI 48083-2067
- **Mailing address phone:** (586) 434-3444
- **Mailing address fax:** (586) 434-3445

## Taxonomy

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

## Other

- **Enumeration date:** 02/18/2019
- **Last updated:** 01/28/2025