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Contact Information

AFFILIATED PODIATRIST, P.C.
35519 E MICHIGAN AVE
WAYNE, MI48184-1682
 Phone: 734-721-0561
 Fax: 734-721-7583
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED PODIATRIST, P.C.

NPI # 1194906479
LBN Legal business name AFFILIATED PODIATRIST, P.C.
Authorized official ARTHUR KELLERT - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2007
Last updated 05/01/2008 - About 18 years ago
Identifiers
MI License # AK000685
MI Medicaid 1074377
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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