Organization
PODIATRY PROFESSIONALS OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIETTA WALKER MHSA (MANAGING PARTNER)
(810) 523-5194
Entity
Organization
Contact information
Practice address
27207 LAHSER RD, SOUTHFIELD, MI 48034-2168
(810) 523-5194
Mailing address
PO BOX 206, SOUTHFIELD, MI 48037-0206
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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