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FAMILY FOOT CLINIC P.C. NPI 1215044276


NPI Information

NPI: 1215044276
Provider Name: FAMILY FOOT CLINIC P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4320 10TH ST
MENOMINEE, MI
ZIP 49858
Phone: (906) 863-5585
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FAMILY FOOT CLINIC P.C. is a podiatrist in Menominee, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FAMILY FOOT CLINIC P.C. NPI is 1215044276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4320 10TH ST
MENOMINEE, MI
ZIP 49858-314
Phone: (906) 863-5585
Fax: (906) 863-8420

The provider's authorized official is David Alan Hammer .
The authorized official title is President and has the following contact phone number (906) 863-5585.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 12/28/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist5901001935MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DG9565MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
2090003914OTHERWISCONSINWEA PRIVATE INSURANCE
34855525230OTHERMICHIGANBC BS PROVIDER NUMBER
400081057MEDICARE ID-TYPE UNSPECIFIEDWISCONSINWISCONSIN MEDICARE NUMBER
5ON94950MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMICHIGAN MEDICARE NUMBER
64099852MEDICAIDMICHIGAN
743226700MEDICAIDWISCONSIN

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: 5/5/2024

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