Organization
ROYALTON FOOT AND ANKLE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RALPH HALSTEAD D.P.M. (PARTNER)
(269) 428-2440
Entity
Organization
Contact information
Practice address
3800 HOLLYWOOD RD, SUITE 103, SAINT JOSEPH, MI 49085-8510
(269) 428-2440
(269) 428-0980
Mailing address
3800 HOLLYWOOD RD, SUITE 103, SAINT JOSEPH, MI 49085-8510
(269) 428-2440
(269) 428-0980
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DH001838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366587354
MEDICARE DME
MI
Enumeration date
02/20/2007
Last updated
02/25/2008
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