Organization
HPFC INC
Active
Organization
HPFC INC
Active
Other names
Highland Park Foot Clinic Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD EUGENE WILSON D.P.M. (PODIATRIST)
(313) 865-4400
Entity
Organization
Contact information
Practice address
18460 REVERE ST, DETROIT, MI 48234-1726
(313) 865-4400
(313) 865-4400
Mailing address
18460 REVERE ST, DETROIT, MI 48234-1726
(313) 865-4400
(313) 865-4400
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131753526
—
MI
01
—
480H231720
BCBS PIN
MI
Enumeration date
05/25/2007
Last updated
02/26/2010
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