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Contact Information

FOOT SPECIALISTS, PC
11995 E 12 MILE RD
STE 202B
WARREN, MI48093
 Phone: 586-755-4242
 Fax: 586-755-6231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT SPECIALISTS PC · (Female)

NPI # 1316041742
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # CY000630
  • MI License # MS000671
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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