Kyle Wayne Sundblad in Sterling Heights - Podiatrist
Kyle Wayne Sundblad - NPI 1205813797
Kyle Wayne Sundblad is a Podiatrist in Sterling Heights, Michigan. Kyle Wayne Sundblad practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kyle Wayne Sundblad is 1205813797. The last update date is 2007-07-08.
Kyle Wayne Sundblad's current location address is 9001 15 Mile Rd, Sterling Heights, Michigan. You can contact this provider via phone number 5869790560 and fax number 5869798766. The mailing address for Kyle Wayne Sundblad is 9001 15 Mile Rd, Sterling Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Wayne Sundblad |
|---|---|
| Address | 9001 15 Mile Rd, Sterling Heights, Michigan |
| Phone Number | 5869790560 |
| Fax Number | 5869798766 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1205813797 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9001 15 Mile Rd |
|---|---|
| City | Sterling Heights |
| State | Michigan (MI) |
| Post Code | 483123611 |
| Phone Number | 5869790560 |
| Fax Number | 5869798766 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 5901002053 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 621950001 | NPIN (DME) | ||
| 5501004 | MI | BCBS | |
| 4522531 | MI | -- |
Post Comment/ Review Below
Could you please share the complete physical address where Kyle Wayne Sundblad is geographically located?
The Kyle Wayne Sundblad is physically situated at the following location: 9001 15 Mile Rd, Sterling Heights, MI, 483123611.
What is Kyle Wayne Sundblad's area of expertise and its corresponding taxonomy classification?
The Kyle Wayne Sundblad's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did Kyle Wayne Sundblad receive its 1205813797 assignment?
The Kyle Wayne Sundblad was assigned its 1205813797 on 2005-12-27, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205813797 to Kyle Wayne Sundblad?
The Centers for Medicare & Medicaid Services originally issued the 1205813797 to Kyle Wayne Sundblad on 2005-12-27.
When was the information regarding Kyle Wayne Sundblad, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyle Wayne Sundblad, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.