Organization
MINI INVASIVE PODIATRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN S ATEYAH DPM (OWNER)
(586) 303-6195
Entity
Organization
Contact information
Practice address
1607 E BIG BEAVER RD STE 110, TROY, MI 48083-2067
(586) 434-3444
(586) 434-3445
Mailing address
1607 E BIG BEAVER RD STE 110, TROY, MI 48083-2067
(586) 434-3444
(586) 434-3445
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962968719
ORGANIZATION NPI
—
Enumeration date
02/18/2019
Last updated
01/28/2025
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