Individual
HON WA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2050 N HAGGERTY RD, SUITE 120, CANTON, MI 48187-3795
(734) 981-1086
(734) 981-2259
Mailing address
PO BOX 87949, CANTON, MI 48187-0949
(734) 716-6434
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5904002084
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4748127
—
MI
01
—
480D710100
HWL BC GROUP
MI
01
—
4858213520
INDIVIDUAL BC
MI
Enumeration date
02/10/2006
Last updated
06/18/2008
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