Organization
PROFESSIONAL FOOT AND ANKLE CENTERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R WILLIAMS DPM (PROVIDER)
(810) 653-9060
Entity
Organization
Contact information
Practice address
1390 N MAIN ST, LAPEER, MI 48446-1349
(810) 664-1250
(810) 664-0315
Mailing address
PO BOX 480, DAVISON, MI 48423-0480
(810) 653-9060
(810) 658-2248
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MW001983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4632598
—
MI
Enumeration date
07/30/2007
Last updated
07/31/2013
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