Organization
RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D MICHAELS DPM (PODIATRIST/MEMBER)
(301) 797-8554
Entity
Organization
Contact information
Practice address
2100 OLD FARM DR, SUITE D, FREDERICK, MD 21702-9494
(301) 418-6014
(301) 797-8554
Mailing address
1150 PROFESSIONAL CT, SUITE C, HAGERSTOWN, MD 21740-4100
(301) 797-8554
(301) 797-9228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403918100
—
MD
Enumeration date
06/03/2015
Last updated
06/03/2015
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