Organization
FOOT AND ANKLE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HALLAHAN (OFFICE MANAGER)
(734) 241-0200
Entity
Organization
Contact information
Practice address
1042 N MONROE ST, MONROE, MI 48162-3113
(734) 241-0200
(734) 241-1961
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(734) 241-0200
(734) 241-1961
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/05/2007
Last updated
02/26/2025
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