Organization
JOHN THROCKMORTON, DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THROCKMORTON DPM (OWNER)
(517) 882-8673
Entity
Organization
Contact information
Practice address
3390 E JOLLY RD, LANSING, MI 48910-8547
(517) 882-8673
(517) 882-3935
Mailing address
3390 E JOLLY RD, LANSING, MI 48910-8547
(517) 882-8673
(517) 882-3935
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01007577
HEALTH PLUS
MI
01
—
1002614
MCLAREN HEALTH
MI
01
—
200000005897
PHYSICIANS HEALTH PLAN
MI
Enumeration date
08/31/2006
Last updated
05/05/2008
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