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Organization

FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C

Active
Other names
Foot & Ankle Specialists of West Michigan P L L C
Organization subpart
No

Provider details

NPI number
Authorized official
LOWELL WEIL JR. DPM (EXECUTIVE CHAIRMAN)
(847) 390-7666
Entity
Organization

Contact information

Practice address
2144 E PARIS SE, STE 100, GRAND RAPIDS, MI 49546
(616) 281-0666
(616) 281-0752
Mailing address
2144 EAST PARIS AVENUE SE, SUITE 100, GRAND RAPIDS, MI 49546
(616) 281-0666
(616) 281-0752

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D11112
BLUE CROSS BLUE SHIELD
MI
01
C12964
RAILROAD MEDICARE
MI
Enumeration date
02/06/2007
Last updated
09/11/2025
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