Organization
HOLLAND FOOT AND ANKLE CENTER, PC
Active
Parent organization
HOLLAND FOOT AND ANKLE CENTER, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLLAND FOOT AND ANKLE CENTER, PC
Authorized official
BRENT VAN TIL DPM (OWNER)
(616) 392-7472
Entity
Organization
Contact information
Practice address
551 LINN ST, ALLEGAN, MI 49010-1595
(616) 392-7472
(616) 392-3327
Mailing address
904 WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-7472
(616) 392-3327
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
11/24/2021
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