Organization
PREMIER FOOT & ANKLE, PLLC
Active
Parent organization
PREMIER FOOT & ANKLE GROSSE POINT
Other names
Premier Foot & Ankle Grosse Point
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER FOOT & ANKLE GROSSE POINT
Authorized official
KIMBERLY BLAHOFSKI (MANAGER)
(586) 948-9417
Entity
Organization
Contact information
Practice address
18010 MACK AVE, GROSSE POINTE, MI 48230-6235
(313) 882-7480
(313) 882-7525
Mailing address
17900 23 MILE RD STE 204, MACOMB, MI 48044-1161
(586) 948-9417
(586) 846-3910
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851846257
—
MI
Enumeration date
08/01/2022
Last updated
08/02/2022
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