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Contact Information

DIABETIC FOOT PLLC
1281 E SHERMAN BLVD
MUSKEGON, MI49444-1846
 Phone: 231-733-1511
 Fax: 231-733-7980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DIABETIC FOOT PLLC · (Female)

NPI # 1558553628
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2007
Last updated 08/13/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # SH001528
  • MI Medicaid 2693057
  • Other 1235107632 NPI TYPE I
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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