Organization
MOBILE PODIATRY SERVICES, PC
Active
Organization
MOBILE PODIATRY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D PAHOLAK DPM (PRESIDENT)
(773) 263-8540
Entity
Organization
Contact information
Practice address
12786 LASALLE LN, HUNTINGTON WOODS, MI 48070-1020
(773) 263-8540
(773) 866-1733
Mailing address
12786 LASALLE LN, HUNTINGTON WOODS, MI 48070-1020
(773) 263-8540
(773) 866-1733
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001714
MI
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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