Individual
DR. SAMUEL THADDEUS AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
22720 MICHIGAN AVE STE 175, DEARBORN, MI 48124-2000
(248) 717-0000
(248) 617-0006
Mailing address
22720 MICHIGAN AVE STE 175, DEARBORN, MI 48124-2000
(248) 717-0000
(248) 617-0006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400369
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901400369
MI
Other
Enumeration date
05/18/2017
Last updated
01/22/2025
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