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Contact Information

AFFILIATED PODIATRIST, P.C.
35519 E MICHIGAN AVE
WAYNE, MI48184-1682
 Phone: 734-721-0561
 Fax: 734-721-7583
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED PODIATRIST PC · (Female)

NPI Number 1194906479
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2007
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # AK000685
  • MI Medicaid 1074377
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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