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LOOKING GLASS FOOT & ANKLE PC NPI 1801116652


NPI Information

NPI: 1801116652
Provider Name: LOOKING GLASS FOOT & ANKLE PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
13105 SCHAVEY RD
SUITE 2
DEWITT, MI
ZIP 48820
Phone: (517) 668-6166
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LOOKING GLASS FOOT & ANKLE PC is a foot and ankle surgery podiatrist in Dewitt, MI. LOOKING GLASS FOOT & ANKLE PC NPI is 1801116652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13105 SCHAVEY RD
SUITE 2
DEWITT, MI
ZIP 48820-037
Phone: (517) 668-6166
Fax: (517) 668-6169

The provider's authorized official is Andrea Kay Simons .
The authorized official title is Owner and has the following contact phone number (517) 668-6166.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 10/25/2011.


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 Surgery5901002235MICHIGANYes

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
16507950001MEDICARE NSCMICHIGAN
21801116652MEDICARE 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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