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Contact Information

DEARBORN PODIATRIC SURGEONS, P.C.
22161 OUTER DR
DEARBORN, MI48124-3901
 Phone: 313-565-8080
 Fax: 313-565-2417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEARBORN PODIATRIC SURGEONS, P.C.

NPI # 1447467485
LBN Legal business name DEARBORN PODIATRIC SURGEONS, P.C.
Authorized official LAWRENCE YOUNG - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # 5901000652
MI Medicaid 1062616
MI Other 5825276 BLUE CROSS BLUE SHIELD
MI Other 112003 CARE CHOICES
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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