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FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE NPI 1336835875


NPI Information

NPI: 1336835875
Provider Name: FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
5256 MAITLAND RD
CLYDE, MI
ZIP 48049
Phone: (810) 650-7113
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FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE is a podiatric clinic center in Clyde, MI. FOOT & ANKLE INSTITUTE OF SPORTS MEDICINE NPI is 1336835875. The provider is registered as an organization entity type.

The provider's business location address is:

5256 MAITLAND RD
CLYDE, MI
ZIP 48049-200
Phone: (810) 650-7113

The provider's authorized official is Keith Williamson .
The authorized official title is Coo and has the following contact phone number (248) 709-5716.

The enumeration date for this NPI number is 4/17/2023 and was last updated on 4/17/2023.


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
1261QP1100XClinic/CenterPodiatricYes

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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