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FOOT AND ANKLE CLINIC OF WEST MICHIGANPC NPI 1356441695


NPI Information

NPI: 1356441695
Provider Name: FOOT AND ANKLE CLINIC OF WEST MICHIGAN,PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
333 N JEBAVY DR
LUDINGTON, MI
ZIP 49431
Phone: (231) 843-2690
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FOOT AND ANKLE CLINIC OF WEST MICHIGAN,PC is a foot and ankle surgery podiatrist in Ludington, MI. FOOT AND ANKLE CLINIC OF WEST MICHIGAN,PC NPI is 1356441695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 N JEBAVY DR
LUDINGTON, MI
ZIP 49431-923
Phone: (231) 843-2690
Fax: (231) 843-4338

The provider's authorized official is Alan L Mast .
The authorized official title is Owner and has the following contact phone number (231) 843-2690.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/24/2008.


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 Surgery5901001496MICHIGANYes

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
10717580002MEDICARE NSCMICHIGAN
22584722MEDICAIDMICHIGAN
30E36017OTHERMICHIGANMEDICARE ID-TYPE UNSPECIF
4T86587MEDICARE UPINMICHIGAN
50E36017MEDICARE 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
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