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Contact Information

FOOT SPECIALISTS, PC
11995 E 12 MILE RD
STE 202B
WARREN, MI48093
 Phone: 586-755-4242
 Fax: 586-755-6231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT SPECIALISTS, PC

NPI Number 1316041742
LBN Legal business name FOOT SPECIALISTS, PC
Authorized official MARSHALL SOLOMON - (SEC/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # CY000630
MI License # MS000671
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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