Clawson Footcare Specialists Pc in Clawson - Podiatric

Clawson Footcare Specialists Pc - NPI 1215029418

Clawson Footcare Specialists Pc is a Podiatric in Clawson, Michigan. Clawson Footcare Specialists Pc practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Clawson Footcare Specialists Pc is 1215029418. The last update date is 2012-11-13.

Clawson Footcare Specialists Pc's current location address is 615 W. 14 Mile Road, Clawson, Michigan. You can contact this provider via phone number 2482888900 and fax number 2482888989. The mailing address for Clawson Footcare Specialists Pc is 615 W. 14 Mile Road, Clawson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clawson Footcare Specialists Pc
Address 615 W. 14 Mile Road, Clawson, Michigan
Phone Number 2482888900
Fax Number 2482888989
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Homer E Brian
Credentials D.P.M, P.C
Telephone Number 2482888900

NPI Number Detail

NPI Number 1215029418
Provider Enumeration Date 2006-09-28
Last Updated Date 2012-11-13

Provider Mailing Address Detail

Address 615 W. 14 Mile Road
City Clawson
State Michigan (MI)
Post Code 480171901
Phone Number 2482888900
Fax Number 2482888989

Provider's Primary Taxonomy Detail

Speciality Podiatric
Taxonomy 261Qp1100X
Licence No 5901001699
Definition:
Provides conservative and surgical foot and ankle care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
133153308 MI --
480018640 MI RAILROAD MEDICARE
0F383890 MI BCBSMI DME
1283450001 MI MEDICARE DME
0F31808 MI BCBSMI

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FAQs about Clawson Footcare Specialists Pc

What is the unique 10-digit identification code assigned to Clawson Footcare Specialists Pc by the Centers for Medicare & Medicaid Services?

The Clawson Footcare Specialists Pc has been issued the NPI (National Provider Identifier) 1215029418, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Clawson Footcare Specialists Pc is physically located?

The Clawson Footcare Specialists Pc is physically situated at the following address: 615 W. 14 Mile Road, Clawson, MI, 480171901.

What is Clawson Footcare Specialists Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Clawson Footcare Specialists Pc is Podiatric, and the taxonomy code that classifies this field of practice is 261Qp1100X.

On what date did the Clawson Footcare Specialists Pc receive the assignment of its 1215029418 from the Centers for Medicare & Medicaid Services?

The Clawson Footcare Specialists Pc was issued its 1215029418 by the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date were the Clawson Footcare Specialists Pc's details last updated?

The information pertaining to the Clawson Footcare Specialists Pc, including its address, specialty, and other details, was most recently updated on 2012-11-13.

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