Organization
D DIABETIC FOOT CENTRE AND WALKING INSTITUTE, LLC
Active
Other names
Sage Thomas Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E.A. THOMAS DPM (MANAGER)
(810) 691-0971
Entity
Organization
Contact information
Practice address
12745 S SAGINAW ST, SUITE 806, GRAND BLANC, MI 48439-2437
(810) 695-6950
Mailing address
12745 S SAGINAW ST, SUITE 806, GRAND BLANC, MI 48439-2437
(810) 695-6950
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480B518380
BCBS PIN
MI
Enumeration date
02/18/2008
Last updated
07/14/2008
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