Organization
FOOT AND ANKLE ASSOC. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE NELSON DPM (OWNER/PHYSICIAN)
(248) 347-8233
Entity
Organization
Contact information
Practice address
44000 W 12 MILE RD, SUITE 111, NOVI, MI 48377-3111
(248) 347-8233
(248) 347-8174
Mailing address
PO BOX 3195, FARMINGTON HILLS, MI 48333-3195
(248) 347-8233
(248) 347-8174
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001597
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4480692
—
MI
01
—
480F303840
BCBS GROUP
MI
01
—
4856354790
BCBS
MI
01
—
613133100
DEPT OF LABOR
MI
Enumeration date
06/09/2006
Last updated
02/22/2012
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