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Contact Information

GRANDVIEW FOOT AND ANKLE PC
1005 W GREEN ST
SUITE NUMBER 304
HASTINGS, MI49058-1712
 Phone: 269-948-9155
 Fax: 269-948-9577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GRANDVIEW FOOT AND ANKLE PC · (Female)

NPI Number 1245376102
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2007
Last updated 12/10/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # SU001970
  • MI Medicaid 4710193
  • MI Medicaid 4710219
  • MI Medicaid 4766591
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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