Organization
PARDEE FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE BENS D.P.M. (OWNER)
(734) 284-7600
Entity
Organization
Contact information
Practice address
9029 PARDEE RD, TAYLOR, MI 48180-2755
(734) 284-7600
Mailing address
9029 PARDEE RD, TAYLOR, MI 48180-2755
(734) 284-7600
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
5901001481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649282
—
MI
Enumeration date
10/28/2015
Last updated
10/28/2015
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