| |
174 S Main St, Romeo, MI 48065-5128 | |
(586) 752-2861 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 174 S Main St, Romeo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043690779 | NPI | - | NPPES |
1992790059 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901002094 (Michigan) | Primary |
Provider Name | Chanda J Corbin |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992790059 PECOS PAC ID: 1254360779 Enrollment ID: I20150204000757 |
Mailing Address | Practice Location Address |
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174 S Main St, Romeo, MI 48065-5128 Ph: () - | 174 S Main St, Romeo, MI 48065-5128 Ph: (586) 752-2861 |
Chanda J Corbin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 174 S Main St, Romeo, MI 48065 Phone: 586-372-7200 |