Organization
RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DALE MICHAELS DPM (OWNER)
(301) 797-8554
Entity
Organization
Contact information
Practice address
1150 PROFESSIONAL CT, SUITE C, HAGERSTOWN, MD 21740-5852
(301) 797-8554
(301) 797-8281
Mailing address
PO BOX 269, FREDERICK, MD 21705-0269
(301) 797-8554
(301) 797-9228
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290A
CAREFIRST MD
MD
01
—
DC3915
MEDICARE RAILROAD
MD
01
—
J323
BCBS
DC
Enumeration date
12/14/2006
Last updated
01/09/2013
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