Organization
PODIATRY PLUS PC
Active
Other names
Podiatry Plus PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL BAILEY (GENERAL MANAGER)
(517) 321-9303
Entity
Organization
Contact information
Practice address
2158 COMMONS PKWY, OKEMOS, MI 48864-3986
(517) 349-6855
Mailing address
2158 COMMONS PARKWAY AVE, OKEMOS, MI 48842
(517) 349-6855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
JM001350
MI
213E00000X
Podiatrist
LN001085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245239631
IND UPIN
MI
01
—
1619976073
IND NPI
MI
05
—
1710897
—
MI
05
—
1743397
—
MI
Enumeration date
04/15/2010
Last updated
12/03/2010
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