South Lyon Foot & Ankle Specialists, P.c. | |
22245 Pontiac Trl, South Lyon, MI 48178-1639 | |
(248) 486-8886 | |
(248) 486-8887 |
Full Name | South Lyon Foot & Ankle Specialists, P.c. |
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Type | Facility |
Speciality | Podiatrist |
Location | 22245 Pontiac Trl, South Lyon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003809682 | NPI | - | NPPES |
4856311830 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Michigan) | Primary |
Provider Name | Anthony M Mastrogiacomo |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720055387 PECOS PAC ID: 4183696966 Enrollment ID: I20040811001062 |
Provider Name | Meaghan Stoinski |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639582851 PECOS PAC ID: 5991095994 Enrollment ID: I20171219002134 |
Mailing Address | Practice Location Address |
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South Lyon Foot & Ankle Specialists, P.c. 22245 Pontiac Trl, South Lyon, MI 48178-1639 Ph: (248) 486-8886 | South Lyon Foot & Ankle Specialists, P.c. 22245 Pontiac Trl, South Lyon, MI 48178-1639 Ph: (248) 486-8886 |
Baril Foot & Ankle Care, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26012 Pontiac Trl, South Lyon, MI 48178 Phone: 248-278-6133 Fax: 248-278-6177 | |
Dr. Raymond H. Durussel, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 13650 10 Mile Rd, South Lyon, MI 48178 Phone: 248-486-1177 Fax: 248-486-5575 | |
Dr. Rebecca Anne Baril, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26012 Pontiac Trl, South Lyon, MI 48178 Phone: 248-278-6133 | |
Dr. Anthony Marc Mastrogiacomo, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22245 Pontiac Trl, South Lyon, MI 48178 Phone: 248-486-8886 Fax: 248-486-8887 | |
Gentle Foot & Ankle Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 13650 Ten Mile Rd, South Lyon, MI 48178 Phone: 248-486-1177 |