Healthcare Provider Details

I. General information

NPI: 1508944539
Provider Name (Legal Business Name): FRANKLIN PARK PODIATRY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32255 NORTHWESTERN HWY SUITE 110
FARMINGTON HILLS MI
48334-1566
US

IV. Provider business mailing address

32255 NORTHWESTERN HWY SUITE 110
FARMINGTON HILLS MI
48334-1566
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-5920
  • Fax: 248-352-6388
Mailing address:
  • Phone: 248-352-5920
  • Fax: 248-352-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL STEWART SALTER
Title or Position: PRESIDENT
Credential: DPM
Phone: 248-352-5920