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Organization

FHPIM, PLC

Active
Other names
Foot and Heel Pain Institute of Michigan, PLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARA LONG SCOTT D.P.M. (OWNER)
(248) 557-6500
Entity
Organization

Contact information

Practice address
29425 NORTHWESTERN HWY STE 125, SOUTHFIELD, MI 48034-1083
(248) 557-6500
(248) 557-2781
Mailing address
29425 NORTHWESTERN HWY STE 125, SOUTHFIELD, MI 48034-1083
(248) 557-6500
(248) 557-2781

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480F328920
BLUE CROSS
MI
05
4842666
MI
Enumeration date
07/02/2006
Last updated
01/12/2022
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