# FOOTSPECIALIST PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** foot care institute of michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992986657
- **Authorized official:** DR. MARSHALL GREGORY SOLOMON DPM (OWNER)
- **Authorized official phone:** (586) 755-4242

## Contact information

- **Practice address:** 11885 E 12 MILE RD, SUITE 202 B, WARREN, MI 48093-3474
- **Practice address phone:** (586) 755-4242
- **Practice address fax:** (586) 755-6231
- **Mailing address:** 21111 MIDDLEBELT RD, FARMINGTON, MI 48336
- **Mailing address phone:** (248) 478-1150
- **Mailing address fax:** (248) 478-1156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901000671 | MI | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 11/21/2007