Lookup NPI Numbers from the NPI Registry
NPI Profile for SUMMIT PODIATRY GROUP PC in JACKSON, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1295825099 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/13/2006 | |
| Last updated | 10/21/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUMMIT PODIATRY GROUP PC
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SUMMIT PODIATRY GROUP PC