Foot And Ankle Specialty Clinic in Dearborn - Foot & Ankle Surgery

Foot And Ankle Specialty Clinic - NPI 1205023033

Foot And Ankle Specialty Clinic is a Foot & Ankle Surgery in Dearborn, Michigan. Foot And Ankle Specialty Clinic practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Foot And Ankle Specialty Clinic is 1205023033. The last update date is 2013-03-22.

Foot And Ankle Specialty Clinic's current location address is 5525 Schaefer Rd, Dearborn, Michigan. You can contact this provider via phone number 3138469717 and fax number 3138469805. The mailing address for Foot And Ankle Specialty Clinic is 5525 Schaefer Rd, Dearborn, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Foot And Ankle Specialty Clinic
Address 5525 Schaefer Rd, Dearborn, Michigan
Phone Number 3138469717
Fax Number 3138469805
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Tourfa Summer
Telephone Number 3138469717

NPI Number Detail

NPI Number 1205023033
Provider Enumeration Date 2007-09-25
Last Updated Date 2013-03-22

Provider Mailing Address Detail

Address 5525 Schaefer Rd
City Dearborn
State Michigan (MI)
Post Code 481263253
Phone Number 3138469717
Fax Number 3138469805

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 5901002122
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4858213650 MI BLUE CROSS BLUE SHIELD
4858213650 MI BLUECARE NETWORK
4849095 MI --

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FAQs about Foot And Ankle Specialty Clinic

What is the unique identifier code issued to Foot And Ankle Specialty Clinic by the Centers for Medicare & Medicaid Services (CMS)?

The Foot And Ankle Specialty Clinic has been assigned the NPI (National Provider Identifier) 1205023033. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Foot And Ankle Specialty Clinic's facilities are situated?

The facilities of Foot And Ankle Specialty Clinic are physically located at the following address: 5525 Schaefer Rd, Dearborn, MI, 481263253.

What is Foot And Ankle Specialty Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Foot And Ankle Specialty Clinic is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.

On what date did the Foot And Ankle Specialty Clinic receive the assignment of its 1205023033 from the Centers for Medicare & Medicaid Services?

The Foot And Ankle Specialty Clinic was issued its 1205023033 by the Centers for Medicare & Medicaid Services on 2007-09-25.

As of what date were the details related to Foot And Ankle Specialty Clinic most recently updated or revised?

The information pertaining to Foot And Ankle Specialty Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-22.

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