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MICHIGAN FOOT & ANKLE INSTITUTE PC NPI 1427083492


NPI Information

NPI: 1427083492
Provider Name: MICHIGAN FOOT & ANKLE INSTITUTE PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 23D1093975

Address:
44250 GARFIELD RD
SUITE 160
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 228-2255
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MICHIGAN FOOT & ANKLE INSTITUTE PC is a podiatrist in Clinton Township, MI. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MICHIGAN FOOT & ANKLE INSTITUTE PC NPI is 1427083492. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44250 GARFIELD RD
SUITE 160
CLINTON TOWNSHIP, MI
ZIP 48038-421
Phone: (586) 228-2255
Fax: (586) 228-2740

The provider's authorized official is Edmund Joseph Kowalchick .
The authorized official title is President and has the following contact phone number (586) 228-2255.

The CLIA number assigned to this NPI record is 23D1093975 - other - clinical research with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2006 and was last updated on 5/13/2015.


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
1213E00000XPodiatristEK001446MICHIGANYes

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
1DB9371OTHERMICHIGANRAILROAD MEDICARE
25171240001MEDICARE NSCMICHIGAN
3=========OTHERMICHIGANTAX ID
40E015510OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
5123659200OTHERMICHIGANWORKERS COMPENSATION
60N94490MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.