James M Pouillon in Grandville - Foot & Ankle Surgery
James M Pouillon - NPI 1710070883
James M Pouillon is a Foot & Ankle Surgery in Grandville, Michigan. James M Pouillon practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for James M Pouillon is 1710070883. The last update date is 2017-12-15.
James M Pouillon's current location address is 3050 Ivanrest Ave Sw Ste E, Grandville, Michigan. You can contact this provider via phone number 6164060102 and fax number 6164060105. The mailing address for James M Pouillon is 3050 Ivanrest Ave Sw Ste E, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James M Pouillon |
|---|---|
| Address | 3050 Ivanrest Ave Sw Ste E, Grandville, Michigan |
| Phone Number | 6164060102 |
| Fax Number | 6164060105 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1710070883 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2017-12-15 |
Provider Mailing Address Detail
| Address | 3050 Ivanrest Ave Sw Ste E |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494181400 |
| Phone Number | 6164060102 |
| Fax Number | 6164060105 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 5901002014 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4548420 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to James M Pouillon by the Centers for Medicare & Medicaid Services?
The James M Pouillon has been issued the NPI (National Provider Identifier) 1710070883. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James M Pouillon?
The James M Pouillon is situated at 3050 Ivanrest Ave Sw Ste E, in the city of Grandville, state of MI, with the zip code 494181400.
What is the James M Pouillon's specialty and taxonomy code?
The James M Pouillon's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
When was the James M Pouillon's 1710070883 issued?
The James M Pouillon's 1710070883 was issued on 2006-10-02.
When was the information regarding James M Pouillon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James M Pouillon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-12-15.