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RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE LLC NPI 1316326978


NPI Information

NPI: 1316326978
Provider Name: RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
2100 OLD FARM DR
SUITE D
FREDERICK, MD
ZIP 21702
Phone: (301) 418-6014
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RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC is a podiatric clinic center in Frederick, MD. RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC NPI is 1316326978. The provider is registered as an organization entity type.

The provider's business location address is:

2100 OLD FARM DR
SUITE D
FREDERICK, MD
ZIP 21702-494
Phone: (301) 418-6014
Fax: (301) 797-8554

The provider's authorized official is Daniel Dale Michaels .
The authorized official title is Podiatrist, Member and has the following contact phone number (301) 797-8554.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 5/28/2015.


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
1261QP1100XClinic/CenterPodiatric01333MARYLANDYes

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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