Organization
PODCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN REPITOR DPM (CEO)
(989) 791-2455
Entity
Organization
Contact information
Practice address
21327 HARPER AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-2200
(989) 791-2455
(989) 791-2455
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SR400227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194760835
—
MI
Enumeration date
07/09/2010
Last updated
07/09/2010
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