Organization
RESIDENTIAL PODIATRY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J PALAJAC D.P.M. (PARTNER/OWNER)
(586) 777-8801
Entity
Organization
Contact information
Practice address
20927 KELLY RD, EASTPOINTE, MI 48021-3128
(586) 777-8801
(586) 777-9988
Mailing address
20927 KELLY RD, EASTPOINTE, MI 48021-3128
(586) 777-8801
(586) 777-9988
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002254
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP4174
RAILROAD MEDICARE
—
Enumeration date
07/20/2009
Last updated
02/19/2010
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