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Contact Information

DEARBORN PODIATRIC SURGEONS, P.C.
22161 OUTER DR
DEARBORN, MI48124-3901
 Phone: 313-565-8080
 Fax: 313-565-2417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEARBORN PODIATRIC SURGEONS PC · (Female)

NPI Number 1447467485
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 5901000652
  • MI Medicaid 1062616
  • MI Other 5825276 BLUE CROSS BLUE SHIELD
  • MI Other 112003 CARE CHOICES
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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