Healthcare Provider Details

I. General information

NPI: 1912834037
Provider Name (Legal Business Name): LOWE FOOT AND ANKLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10740 DIXIE HWY STE A
DAVISBURG MI
48350-1123
US

IV. Provider business mailing address

10740 DIXIE HWY STE A
DAVISBURG MI
48350-1123
US

V. Phone/Fax

Practice location:
  • Phone: 810-841-9044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: RONALD LOWE
Title or Position: OWNER
Credential: DPM
Phone: 810-841-9044