Organization
DEXTER PODIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LEDBETTER D.P.M. (PRESIDENT / OWNER)
(734) 253-2687
Entity
Organization
Contact information
Practice address
7300 DEXTER ANN ARBOR RD, SUITE 100, DEXTER, MI 48130-8598
(734) 253-2687
(734) 253-2697
Mailing address
7300 DEXTER ANN ARBOR RD, SUITE 100, DEXTER, MI 48130-8598
(734) 253-2687
(734) 253-2697
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002092
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043475726
—
MI
01
—
48-0-H1-1754-0
BCBS
MI
01
—
DP2242
RAILROAD MEDICARE
MI
Enumeration date
07/22/2008
Last updated
09/21/2009
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