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MICHIGAN FOOT & ANKLE SURGEONS P.C. NPI 1194922559


NPI Information

NPI: 1194922559
Provider Name: MICHIGAN FOOT & ANKLE SURGEONS, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
29201 TELEGRAPH RD
SUITE 100
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 355-4000
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MICHIGAN FOOT & ANKLE SURGEONS, P.C. is a foot and ankle surgery podiatrist in Southfield, MI. MICHIGAN FOOT & ANKLE SURGEONS, P.C. NPI is 1194922559. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

29201 TELEGRAPH RD
SUITE 100
SOUTHFIELD, MI
ZIP 48034-331
Phone: (248) 355-4000
Fax: (248) 355-4047

The provider's authorized official is Marnie Louise Harris .
The authorized official title is Office Manager and has the following contact phone number (248) 355-4000.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 12/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryRL002077MICHIGANNo
2213ES0103XPodiatristFoot & Ankle SurgeryFL000635MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T34388MEDICARE UPIN
20N91070002MEDICARE ID-TYPE UNSPECIFIED
35207150001MEDICARE NSCMICHIGAN
44741574MEDICAIDMICHIGAN
5U99844MEDICARE UPIN
61528091378OTHERFRED NPI
71669497327OTHERRANDY NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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