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MISSION PODIATRY PLLC NPI 1669764304


NPI Information

NPI: 1669764304
Provider Name: MISSION PODIATRY PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
39090 GARFIELD RD STE 108
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 286-8660
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MISSION PODIATRY PLLC is a foot and ankle surgery podiatrist in Clinton Township, MI. MISSION PODIATRY PLLC NPI is 1669764304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39090 GARFIELD RD STE 108
CLINTON TOWNSHIP, MI
ZIP 48038-093
Phone: (586) 286-8660
Fax: (586) 286-8353

The provider's authorized official is Joyce Eva Patouhas .
The authorized official title is Owner/podiatrists and has the following contact phone number (586) 557-6170.

The enumeration date for this NPI number is 5/13/2011 and was last updated on 8/10/2020.


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
1213ES0103XPodiatristFoot & Ankle Surgery5901002231MICHIGANYes

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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