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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