Organization
SOUTHWEST FOOTCARE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA LYNNE SPEARS D.P.M. (OWNER)
(269) 217-3668
Entity
Organization
Contact information
Practice address
6812 SHALLOWFORD WAY, PORTAGE, MI 49024-1715
(269) 217-3668
Mailing address
PO BOX 2078, PORTAGE, MI 49081-2078
(269) 217-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001629
MI
Other
Enumeration date
12/15/2008
Last updated
12/16/2008
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