| |
231 W Pine Lake Dr, Suite Number 102, Newaygo, MI 49337-8028 | |
(231) 652-5955 | |
(231) 652-5956 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 231 W Pine Lake Dr, Newaygo, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477690428 | NPI | - | NPPES |
4710219 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | SU001970 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 362, Hastings, MI 49058-0362 Ph: (269) 948-9155 | 231 W Pine Lake Dr, Suite Number 102, Newaygo, MI 49337-8028 Ph: (231) 652-5955 |
Foot & Ankle Specialists Of West Michigan P L L C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 501 W Washington St, Newaygo, MI 49337 Phone: 231-652-5955 |