FOOTSPECIALIST PC NPI 1992986657

NPI Information

  • NPI: 1992986657
  • Provider Name: FOOTSPECIALIST PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Doing Business As: FOOT CARE INSTITUTE OF MICHIGAN
  • Address: 11885 E 12 MILE RD
    SUITE 202 B
    WARREN, MI
    ZIP 48093
  • Phone: (586) 755-4242

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NPI Details

FOOTSPECIALIST PC is a foot and ankle surgery podiatrist in Warren, MI. FOOTSPECIALIST PC NPI is 1992986657. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foot Care Institute Of Michigan.

The provider's business location address is:

11885 E 12 MILE RD
SUITE 202 B
WARREN, MI
ZIP 48093-474
Phone: (586) 755-4242
Fax: (586) 755-6231

The provider's authorized official is Marshall Gregory Solomon .
The authorized official title is Owner and has the following contact phone number (586) 755-4242.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.

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 Surgery5901000671MICHIGANYes

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
1OF36418MEDICARE PINMICHIGAN
21073253MEDICAIDMICHIGAN

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: 11/21/2025

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