Healthcare Provider Details

I. General information

NPI: 1801866520
Provider Name (Legal Business Name): GRAND BLANC FOOTCARE SPECIALISTS, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11219 S SAGINAW ST
GRAND BLANC MI
48439-1281
US

IV. Provider business mailing address

11219 S SAGINAW ST
GRAND BLANC MI
48439-1281
US

V. Phone/Fax

Practice location:
  • Phone: 810-695-9090
  • Fax: 810-695-1650
Mailing address:
  • Phone: 810-695-9090
  • Fax: 810-695-1650

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. STEVEN KARR
Title or Position: OWNER
Credential: D.P.M.
Phone: 810-695-9090