Healthcare Provider Details

I. General information

NPI: 1205014529
Provider Name (Legal Business Name): PETER M. TORRICE DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 02/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20967 KELLY RD
EASTPOINTE MI
48021-3128
US

IV. Provider business mailing address

20967 KELLY RD
EASTPOINTE MI
48021-3128
US

V. Phone/Fax

Practice location:
  • Phone: 586-779-8600
  • Fax: 586-779-2019
Mailing address:
  • Phone: 586-779-8600
  • Fax: 586-779-2019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPT000613
License Number StateMI

VIII. Authorized Official

Name: DR. PETER M TORRICE
Title or Position: PRESIDENT
Credential: DPM PC
Phone: 586-779-8600