Organization
SOUTHGATE FOOT AND ANKLE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T ZAHARI DPM (DOCTOR)
(734) 285-4200
Entity
Organization
Contact information
Practice address
14535 NORTHLINE RD., SOUTHGATE, MI 48195-2446
(734) 285-4200
(734) 285-9256
Mailing address
14535 NORTHLINE RD., SOUTHGATE, MI 48195-2446
(734) 285-4200
(734) 285-9256
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DZ400138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4390835
—
MI
01
—
DF6579
MEDICARE RETIRED RAILROAD
MI
Enumeration date
01/24/2006
Last updated
03/04/2009
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