Organization
MARTIN J FAASSE DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J FAASSE DPM (PRESIDENT)
(616) 534-3920
Entity
Organization
Contact information
Practice address
3550 FAIRLANES AVE SW, GRANDVILLE, MI 49418-1572
(616) 534-3920
(616) 534-0801
Mailing address
PO BOX 164, GRANDVILLE, MI 49468-0164
(616) 534-3920
(616) 534-0801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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