Organization
FOOTSPECIALIST PC
Active
Other names
foot care institute of michigan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL GREGORY SOLOMON DPM (OWNER)
(586) 755-4242
Entity
Organization
Contact information
Practice address
11885 E 12 MILE RD, SUITE 202 B, WARREN, MI 48093-3474
(586) 755-4242
(586) 755-6231
Mailing address
21111 MIDDLEBELT RD, FARMINGTON, MI 48336
(248) 478-1150
(248) 478-1156
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073253
—
MI
Enumeration date
11/21/2007
Last updated
11/21/2007
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