Organization
ANN ARBOR FOOT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ANN SHELDON D.P.M. (PRESIDENT)
(734) 994-9111
Entity
Organization
Contact information
Practice address
2550 DEXTER RD, ANN ARBOR, MI 48103-2702
(734) 994-9111
(734) 994-4410
Mailing address
2550 DEXTER RD, ANN ARBOR, MI 48103-2702
(734) 994-9111
(734) 994-4410
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002011
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901002011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480H16064
BLUE CROSS/BLUE SHIELD
—
01
—
4858150120
BLUE TRADITIONAL & TRUST
—
Enumeration date
01/31/2008
Last updated
03/27/2008
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