Organization
KALAMAZOO FOOT SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK WILLIAM TILLER D.P.M. (DOCTOR)
(269) 344-0874
Entity
Organization
Contact information
Practice address
1212 S PARK ST, KALAMAZOO, MI 49001-5600
(269) 344-0874
(269) 344-7256
Mailing address
1212 S PARK ST, KALAMAZOO, MI 49001-5600
(269) 344-0874
(269) 344-7256
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0432570002
DME
MI
01
—
480C97640
BLUE CARE NETWORK
MI
Enumeration date
11/02/2006
Last updated
04/17/2023
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