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ROMEO FOOT CLINIC PC NPI 1639195696


NPI Information

NPI: 1639195696
Provider Name: ROMEO FOOT CLINIC, PC

Doing Business As: ROMEO FOOT AND ANKLE CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
64580 VAN DYKE RD STE A
WASHINGTON, MI
ZIP 48095
Phone: (586) 752-3519
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ROMEO FOOT CLINIC, PC is a foot and ankle surgery podiatrist in Washington, MI. ROMEO FOOT CLINIC, PC NPI is 1639195696. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Romeo Foot And Ankle Clinic.

The provider's business location address is:

64580 VAN DYKE RD STE A
WASHINGTON, MI
ZIP 48095-811
Phone: (586) 752-3519
Fax: (586) 752-7046

The provider's authorized official is Alan L Stiebel .
The authorized official title is Podiatrist and has the following contact phone number (586) 752-3519.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/30/2014.


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
1213ES0103XPodiatristFoot & Ankle SurgeryMICHIGANYes

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
1=========OTHERMICHIGANCOMMERCIAL
20149650001MEDICARE NSCMICHIGAN
3480E021140OTHERMICHIGANBLUE CROSS BLUE SHIELD
40Q37610MEDICARE PINMICHIGAN
5CJ7750OTHERMICHIGANPALMETTO GBA RAILROAD MED
6480E021140OTHERMICHIGANBLUE CARE NETWORK

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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