Organization
MICHIANA FOOT CARE CLINIC L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COLE D.P.M (MEMBER)
(708) 738-2778
Entity
Organization
Contact information
Practice address
723 E JEFFERSON BLVD, SOUTH BEND, IN 46617-2902
(708) 738-2778
Mailing address
723 E JEFFERSON BLVD, SOUTH BEND, IN 46617-2902
(708) 738-2778
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001107A
IN
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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