Organization
ROMEO FOOT CLINIC, PC
Active
Other names
Romeo Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN L STIEBEL DPM (PODIATRIST)
(586) 752-3519
Entity
Organization
Contact information
Practice address
64580 VAN DYKE RD STE A, WASHINGTON, MI 48095-2811
(586) 752-3519
(586) 752-7046
Mailing address
64580 VAN DYKE RD STE A, WASHINGTON, MI 48095-2811
(586) 752-3519
(586) 752-7046
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480E021140
BLUE CROSS BLUE SHIELD
MI
01
—
CJ7750
PALMETTO GBA RAILROAD MED
MI
Enumeration date
07/14/2006
Last updated
07/30/2014
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