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Individual

DR. NELSON JOSEPH PONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8623 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-1489
(313) 563-3750
(313) 563-4434
Mailing address
8623 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-1489
(313) 563-3750
(313) 563-4434

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000453
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4816170001
DMERC
MI
01
8825378
BLUECROSS BLUESHIELD
MI
Enumeration date
08/16/2005
Last updated
03/18/2010
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