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Organization

AFFILIATED PODIATRIST, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR BRUCE KELLERT D.P.M. (PODIATRIST)
(734) 721-0561
Entity
Organization

Contact information

Practice address
35519 E MICHIGAN AVE, WAYNE, MI 48184-1682
(734) 721-0561
(734) 721-7583
Mailing address
35519 E MICHIGAN AVE, WAYNE, MI 48184-1682
(734) 721-0561
(734) 721-7583

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AK000685
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1074377
MI
Enumeration date
11/15/2007
Last updated
05/01/2008
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