Organization
FOOT AND ANKLE INSTITUTE OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TREACY COLLINS (OFFICE MANAGER)
(248) 737-0780
Entity
Organization
Contact information
Practice address
6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 48322-3405
(248) 737-0780
(248) 737-0850
Mailing address
6900 ORCHARD LAKE RD, SUITE 315, WEST BLOOMFIELD, MI 48322-3405
(248) 737-0780
(248) 737-0850
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F320620
BLUE CROSS PROVIDER
MI
01
—
5099000001
MEDICARE SUPPLIER NUMBER
MI
Enumeration date
08/09/2006
Last updated
01/06/2009
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