Organization
GREAT LAKES FOOT CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BINDER DPM (PRESIDENT)
(248) 338-3668
Entity
Organization
Contact information
Practice address
1701 BALDWIN AVE, B, PONTIAC, MI 48340-3412
(248) 338-3668
(248) 338-0136
Mailing address
1701 BALDWIN AVE, B, PONTIAC, MI 48340-3412
(248) 338-3668
(248) 338-0136
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536220
—
MI
01
—
5630125
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/07/2012
Last updated
03/21/2012
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