Affiliated Podiatrist, P.C. in Wayne - Podiatrist

Affiliated Podiatrist, P.C. - NPI 1194906479

Affiliated Podiatrist, P.C. is a Podiatrist in Wayne, Michigan. Affiliated Podiatrist, P.C. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Affiliated Podiatrist, P.C. is 1194906479. The last update date is 2008-05-01.

Affiliated Podiatrist, P.C.'s current location address is 35519 E Michigan Ave, Wayne, Michigan. You can contact this provider via phone number 7347210561 and fax number 7347217583. The mailing address for Affiliated Podiatrist, P.C. is 35519 E Michigan Ave, Wayne, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Affiliated Podiatrist, P.C.
Address 35519 E Michigan Ave, Wayne, Michigan
Phone Number 7347210561
Fax Number 7347217583
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PODIATRIST
Authorized Official Name Kellert Bruce Arthur
Credentials D.P.M.
Telephone Number 7347210561

NPI Number Detail

NPI Number 1194906479
Provider Enumeration Date 2007-11-15
Last Updated Date 2008-05-01

Provider Mailing Address Detail

Address 35519 E Michigan Ave
City Wayne
State Michigan (MI)
Post Code 481841682
Phone Number 7347210561
Fax Number 7347217583

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No AK000685
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1074377 MI --

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FAQs about Affiliated Podiatrist, P.C.

What is the unique 10-digit identification code assigned to Affiliated Podiatrist, P.C. by the Centers for Medicare & Medicaid Services?

The Affiliated Podiatrist, P.C. has been issued the NPI (National Provider Identifier) 1194906479, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Affiliated Podiatrist, P.C.'s facilities are situated?

The facilities of Affiliated Podiatrist, P.C. are physically located at the following address: 35519 E Michigan Ave, Wayne, MI, 481841682.

What is Affiliated Podiatrist, P.C.'s area of expertise and its corresponding taxonomy classification?

The Affiliated Podiatrist, P.C.'s field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Affiliated Podiatrist, P.C. receive its 1194906479 assignment from the Centers for Medicare & Medicaid Services?

The Affiliated Podiatrist, P.C. was assigned its 1194906479 by the Centers for Medicare & Medicaid Services on 2007-11-15.

As of what date were the details pertaining to Affiliated Podiatrist, P.C. last refreshed?

The information related to the Affiliated Podiatrist, P.C., including its address, specialty, and other relevant details, was last updated on 2008-05-01.

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