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Individual

DR. ARTHUR ENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
24060 W 9 MILE RD, SOUTHFIELD, MI 48034-3904
(248) 356-5900
(248) 356-4940
Mailing address
24060 W 9 MILE RD, SOUTHFIELD, MI 48034-3904
(248) 356-5900
(248) 356-4940

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AE001397
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13 1959674
MI
01
383024294
TAX ID
MI
01
480F375620
BLUE CROSS
MI
Enumeration date
11/17/2005
Last updated
12/03/2014
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