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Organization

BC PODIATRY PLLC

Active
Other names
Gentle Foot & Ankle Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN BURKARDT DPM (OWNER/PHYSICAN)
(734) 308-2973
Entity
Organization

Contact information

Practice address
13650 TEN MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
Mailing address
13650 TEN MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
5901001043
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901002128
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0P15390
MEDICARE
MI
01
480F337000
BLUE CARE NETWORK
MI
01
480F394250
BLUE CROSS
05
492996413
MI
Enumeration date
11/20/2010
Last updated
05/22/2023
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