Organization
ASSOCIATED FOOT CLINIC OF FENTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C NOROYAN D.P.M. (OWNER)
(810) 750-8300
Entity
Organization
Contact information
Practice address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 750-8300
Mailing address
191 N PARK BLVD, LAKE ORION, MI 48362
(810) 693-8400
(810) 693-3970
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
JN001106
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48-0B514890
BCBSM
MI
Enumeration date
12/01/2006
Last updated
10/06/2009
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