Organization
ASSOCIATES IN PODIATRY OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY KATHRYN GEPHART M.D. (OWNER)
(734) 414-0875
Entity
Organization
Contact information
Practice address
990 W ANN ARBOR TRL, SUITE 200, PLYMOUTH, MI 48170-6204
(734) 414-0874
(734) 414-0875
Mailing address
990 W ANN ARBOR TRL, SUITE 200, PLYMOUTH, MI 48170-6204
(734) 414-0874
(734) 414-0875
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901002100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841301256
INDIVIDUAL NPI NUMBER
MI
Enumeration date
03/15/2007
Last updated
08/22/2020
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