Organization
FOOT AND ANKLE SPECIALISTS OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SMITH (MANAGER)
(586) 574-0500
Entity
Organization
Contact information
Practice address
27901 WOODWARD AVE, SUITE 110, BERKLEY, MI 48072-0919
(248) 545-0100
Mailing address
27901 WOODWARD AVE, SUITE 110, BERKLEY, MI 48072-0919
(248) 545-0100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F335300
BCBS
MI
01
—
5987390001
DME
MI
01
—
CK000960
LICENSE
MI
01
—
DG2153
MEDICARE RAILROAD
MI
01
—
JF001355
LICENSE
MI
01
—
LH000829
LICENSE
MI
01
—
MS000843
LICENSE
MI
Enumeration date
10/12/2006
Last updated
02/01/2010
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