Organization
NORTHWOOD FOOT AND ANKLE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GUISINGER D.P.M. (PRESIDENT)
(616) 393-8886
Entity
Organization
Contact information
Practice address
388 GARDEN AVE, SUITE 120, HOLLAND, MI 49424-8998
(616) 393-8886
(616) 393-9975
Mailing address
388 GARDEN AVE, SUITE 120, HOLLAND, MI 49424-8999
(616) 393-8886
(616) 393-9975
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001739
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901001739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3516763
—
MI
01
—
480029237
MEDICARE RAILROAD
MI
01
—
4857010700
BLUE CROSS
MI
Enumeration date
04/27/2007
Last updated
03/17/2022
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