Organization
DIABETIC FOOT AND WOUND CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E HOLIBAUGH (PRESIDENT)
(231) 733-1511
Entity
Organization
Contact information
Practice address
1281 E SHERMAN BLVD, MUSKEGON, MI 49444-1846
(231) 733-1511
(231) 733-7980
Mailing address
1281 E SHERMAN BLVD, PO BOX 4323, MUSKEGON, MI 49444-1846
(231) 733-1511
(231) 733-7980
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001528
MI
Other
Enumeration date
04/19/2010
Last updated
02/24/2014
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