Organization
STERLING HEIGHTS UTICA PODIATRISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOWARD KENT D.P.M. (PRESIDENT)
(586) 254-2420
Entity
Organization
Contact information
Practice address
8061 21 MILE RD, SUITE 1&2, SHELBY TOWNSHIP, MI 48317-4311
(586) 254-2420
(586) 254-2447
Mailing address
8061 21 MILE RD, SUITE 1&2, SHELBY TOWNSHIP, MI 48317-4311
(586) 254-2420
(586) 254-2447
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360298
—
MI
01
—
4885053950
BCBS OF MICHIGAN
MI
Enumeration date
07/21/2007
Last updated
09/06/2007
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