Organization
ADVANCE FAMILY FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET H. BAATILE-AJROUCHE D.P.M. (OWNER)
(313) 319-9299
Entity
Organization
Contact information
Practice address
8596 N CANTON CENTER RD, CANTON, MI 48187-1310
(313) 319-9299
Mailing address
23215 CHELTENHAM LN, DEARBORN HEIGHTS, MI 48127-2367
(313) 319-9299
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427203413
—
MI
Enumeration date
03/07/2013
Last updated
03/18/2013
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