Mid-michigan Podiatry Pllc | |
1500 Watertower Pl Ste 300, East Lansing, MI 48823-8049 | |
(517) 351-7640 | |
Not Available |
Full Name | Mid-michigan Podiatry Pllc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1500 Watertower Pl Ste 300, East Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912620329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Jeremy Michael Hyrczyk |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154698116 PECOS PAC ID: 2961666482 Enrollment ID: I20221221000328 |
Mailing Address | Practice Location Address |
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Mid-michigan Podiatry Pllc 1500 Watertower Pl Ste 300, East Lansing, MI 48823-8049 Ph: (517) 351-7640 | Mid-michigan Podiatry Pllc 1500 Watertower Pl Ste 300, East Lansing, MI 48823-8049 Ph: (517) 351-7640 |
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