Organization
VISITING PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN BEATTY M.D. (OWNER)
(248) 824-6000
Entity
Organization
Contact information
Practice address
21540 W 11 MILE RD, STE 150, SOUTHFIELD, MI 48076-3843
(248) 213-6680
(877) 396-5966
Mailing address
PO BOX 4839, TROY, MI 48099-4839
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
MI
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
MI
213ES0131X
Foot Surgery Podiatrist
—
MI
Other
Enumeration date
03/25/2011
Last updated
03/11/2013
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