Dr. D. M. Elem Pc in Lincoln Park - Primary Podiatric Medicine

Dr. D. M. Elem Pc - NPI 1063468387

Dr. D. M. Elem Pc is a Primary Podiatric Medicine in Lincoln Park, Michigan. Dr. D. M. Elem Pc practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Dr. D. M. Elem Pc is 1063468387. The last update date is 2008-10-24.

Dr. D. M. Elem Pc's current location address is 1111 Fort St, Lincoln Park, Michigan. You can contact this provider via phone number 3133860000 and fax number 3133861597. The mailing address for Dr. D. M. Elem Pc is 1111 Fort St, Lincoln Park, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. D. M. Elem Pc
Address 1111 Fort St, Lincoln Park, Michigan
Phone Number 3133860000
Fax Number 3133861597
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Elem-Vaughn Michelle Durene
Credentials DPM
Telephone Number 3133860000

NPI Number Detail

NPI Number 1063468387
Provider Enumeration Date 2006-05-26
Last Updated Date 2008-10-24

Provider Mailing Address Detail

Address 1111 Fort St
City Lincoln Park
State Michigan (MI)
Post Code 481461802
Phone Number 3133860000
Fax Number 3133861597

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 5901001503
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4858252150 MI BLUE CROSS BLUE SHIELD MICHIGA
2710766 MI --

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FAQs about Dr. D. M. Elem Pc

What is the unique 10-digit identifier code issued to Dr. D. M. Elem Pc by the Centers for Medicare & Medicaid Services?

The Dr. D. M. Elem Pc has been assigned the NPI (National Provider Identifier) 1063468387 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Dr. D. M. Elem Pc's facilities are situated?

The facilities of Dr. D. M. Elem Pc are physically located at the following address: 1111 Fort St, Lincoln Park, MI, 481461802.

What is the area of specialization for Dr. D. M. Elem Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dr. D. M. Elem Pc is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063468387 to Dr. D. M. Elem Pc?

The Centers for Medicare & Medicaid Services assigned the 1063468387 to Dr. D. M. Elem Pc on 2006-05-26.

When was the information regarding Dr. D. M. Elem Pc most recently updated?

The details pertaining to the Dr. D. M. Elem Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-10-24.

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