Organization
FOOT SPECIALISTS PC
Active
Parent organization
FOOT SPECIALISTS PC
Other names
The foot care institute of Michigan
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT SPECIALISTS PC
Authorized official
DR. MARSHALL G SOLOMON DPM (PRESIDENT)
(248) 478-1150
Entity
Organization
Contact information
Practice address
11650 BELLEVILLE RD, BELLEVILLE, MI 48111-3380
(734) 699-2400
(734) 699-3669
Mailing address
21111 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-5549
(248) 478-1150
(248) 478-1156
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F364180
BLUE CROSS BLUE SHIELD
MI
01
—
54938D
HAP
MI
Enumeration date
02/18/2011
Last updated
05/16/2014
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