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Contact Information

HOLLY FOOT & ANKLE SPECIALISTS PLC
4038 GRANGE HALL RD
HOLLY, MI48442-1160
 Phone: 248-634-6200
 Fax: 248-634-6213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HOLLY FOOT & ANKLE SPECIALISTS PLC

NPI Number 1477684413
LBN Legal business name HOLLY FOOT & ANKLE SPECIALISTS PLC
Authorized official HAROLD KOEHLER - (DOCTOR/OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/09/2007
Last updated 03/24/2025 - More than a year ago
Identifiers
MI Medicaid 4810985
MI Other 480F327690 BCBS
MI Other 1477684413 MEDICARE NGS
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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