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Contact Information

ADVANCED PODIATRY OF DEARBORN PC
7296 SIMSBURY DR
WEST BLOOMFIELD, MI48322-3548
 Phone: 248-737-2343
 Fax: 248-737-3959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED PODIATRY OF DEARBORN PC · (Female)

NPI Number 1891863726
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2006
Last updated 09/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 5901000677
  • MI Medicaid 1080580
  • MI Other 8825444 BLUE CROSS & BLUE SHIELD
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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