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GREAT LAKES PODIATRY PLLC NPI 1043728553


NPI Information

NPI: 1043728553
Provider Name: GREAT LAKES PODIATRY PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
126 S 25TH ST STE A
ESCANABA, MI
ZIP 49829
Phone: (906) 786-2385
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GREAT LAKES PODIATRY PLLC is a durable medical equipment medical supplies in Escanaba, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GREAT LAKES PODIATRY PLLC NPI is 1043728553. The provider is registered as an organization entity type.

The provider's business location address is:

126 S 25TH ST STE A
ESCANABA, MI
ZIP 49829-364
Phone: (906) 786-2385
Fax: (906) 563-2029

The provider's authorized official is Dennis W Leveille .
The authorized official title is Owner/podiatrist and has the following contact phone number (906) 786-2385.

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies5901001228MICHIGANYes
2335E00000XProsthetic/Orthotic Supplier5901001228MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11225079932MEDICAIDMICHIGAN
21982696209MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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