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Organization

NILES FOOT CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM HAYDEN FOX DPM (PRESIDENT/PODIATRIST)
(269) 683-1868
Entity
Organization

Contact information

Practice address
201 N 17TH ST, NILES, MI 49120-2100
(269) 683-1868
(269) 683-9203
Mailing address
201 N 17TH ST, NILES, MI 49120-2100
(269) 683-1868
(269) 683-9203

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4468900
MI
Enumeration date
05/16/2008
Last updated
05/16/2008
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