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Contact Information

MARTIN J FAASSE, DPM
3550 FAIRLANES SW
GRANDVILLE, MI49418
 Phone: 616-534-3920
 Fax: 616-534-0801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARTIN J FAASSE · (Male)

NPI Number 1558466995
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/13/2006
Last updated 02/03/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # MF000943
  • MI Medicaid 1421894
  • Other 5415000 BCBS OF MICHIGAN
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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