| |
423 E Main St, Carson City, MI 48811-9741 | |
(989) 584-3916 | |
(989) 584-3917 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 423 E Main St, Carson City, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114064185 | NPI | - | NPPES |
4766591 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | SU001970 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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Po Box 362, Hastings, MI 49058-0362 Ph: (269) 948-9155 | 423 E Main St, Carson City, MI 48811-9741 Ph: (989) 584-3916 |
Foot & Ankle Specialists Of West Michigan P L L C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 S 3rd St Ste 400, Carson City, MI 48811 Phone: 989-584-3916 Fax: 847-390-9345 |