Organization
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
Active
Parent organization
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
Authorized official
LOWELL WEIL JR. DPM (EXECUTIVE CHAIRMAN)
(847) 390-7666
Entity
Organization
Contact information
Practice address
1195 WILSON NW, GRAND RAPIDS, MI 49534-6404
(616) 453-8277
(616) 453-2002
Mailing address
2144 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6117
(616) 281-0666
(616) 281-0752
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
OM71140
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WD000997
MI
Other
Enumeration date
07/10/2007
Last updated
06/22/2023
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