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GREAT LAKES FOOT & ANKLE SPECIALIST PLLC NPI 1548450414


NPI Information

NPI: 1548450414
Provider Name: GREAT LAKES FOOT & ANKLE SPECIALIST, PLLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
10161 E PICKWICK CT STE E
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-8800
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GREAT LAKES FOOT & ANKLE SPECIALIST, PLLC is a podiatric clinic center in Traverse City, MI. GREAT LAKES FOOT & ANKLE SPECIALIST, PLLC NPI is 1548450414. The provider is registered as an organization entity type.

The provider's business location address is:

10161 E PICKWICK CT STE E
TRAVERSE CITY, MI
ZIP 49684-239
Phone: (231) 935-8800
Fax: (231) 935-8801

The provider's authorized official is Jeffrey A Szczepanski .
The authorized official title is Physician/ Owner and has the following contact phone number (231) 935-8800.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 4/2/2023.


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/CenterPodiatric5901001932MICHIGANYes

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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