Organization
LONG LAKE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DOOLEY (OFFICE MANAGER)
(248) 528-0709
Entity
Organization
Contact information
Practice address
2914 E LONG LAKE RD, TROY, MI 48085-3780
(248) 528-0709
(248) 528-1807
Mailing address
2914 E LONG LAKE RD, TROY, MI 48085-3780
(248) 528-0709
(248) 528-1807
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005335144
AETNA
MI
05
—
1634294
—
MI
01
—
480002521
RAILROAD MCR
MI
01
—
5631470
BLUE CROSS BLUE SHIELD
MI
01
—
89594B
HAP
MI
Enumeration date
03/19/2007
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us