Organization
LAKES AREA FOOT AND ANKLE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS FEINMAN DPM (OWNER)
(248) 425-8124
Entity
Organization
Contact information
Practice address
620 N PONTIAC TRL, WALLED LAKE, MI 48390-3448
(248) 425-8124
Mailing address
PO BOX 1355, WALLED LAKE, MI 48390-5355
(248) 425-8124
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5315007043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4350339-13
—
MI
01
—
4856351900
BCBS
—
Enumeration date
10/22/2012
Last updated
10/22/2012
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