Organization
PUPP AND ASSOCIATES PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIETTA WALKER (MANAGING PARTNER)
(810) 523-5194
Entity
Organization
Contact information
Practice address
27207 LAHSER RD STE 250A, SOUTHFIELD, MI 48034-8471
(248) 424-8637
Mailing address
68490 MEADOWOOD CT, WASHINGTON, MI 48095-1395
(810) 523-5194
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
07/11/2022
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