Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc in Oak Park - Foot & Ankle Surgery
Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc - NPI 1104085083
Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc is a Foot & Ankle Surgery in Oak Park, Michigan. Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc is 1104085083. The last update date is 2012-08-04.
Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc's current location address is 13855 W 9 Mile Rd, Oak Park, Michigan. You can contact this provider via phone number 2485454110 and fax number 2485442502. The mailing address for Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc is 13855 W 9 Mile Rd, Oak Park, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc |
|---|---|
| Address | 13855 W 9 Mile Rd, Oak Park, Michigan |
| Phone Number | 2485454110 |
| Fax Number | 2485442502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Siddique Sehra |
| Telephone Number | 2485454110 |
NPI Number Detail
| NPI Number | 1104085083 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2012-08-04 |
Provider Mailing Address Detail
| Address | 13855 W 9 Mile Rd |
|---|---|
| City | Oak Park |
| State | Michigan (MI) |
| Post Code | 482372775 |
| Phone Number | 2485454110 |
| Fax Number | 2485442502 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 5901002201 |
|
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 |
|---|---|---|---|
| 0P61440 | AETNA | ||
| 0P61440 | MI | -- | |
| 4856319350 | MI | BCBSM | |
| 6140810001 | MI | MEDICARE NGS |
Post Comment/ Review Below
What is the unique identification code assigned to Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc by the Centers for Medicare & Medicaid Services?
The Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc has been issued the NPI (National Provider Identifier) 1104085083. This 10-digit code 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 Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc's facilities are situated?
The facilities of Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc are physically located at the following address: 13855 W 9 Mile Rd, Oak Park, MI, 482372775.
What is the Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc's area of specialization and corresponding taxonomy classification?
The Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104085083 to Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1104085083 to Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc on 2008-06-05.
As of what date were the details related to Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc most recently updated or revised?
The information pertaining to Center For Reconstructive Surgery Of The Foot Ankle & Leg, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-04.
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