Healthcare Provider Details

I. General information

NPI: 1265748586
Provider Name (Legal Business Name): GEOFFREY M. DAY DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 05/18/2020
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6251 W M 72 HWY
GRAYLING MI
49738-7462
US

IV. Provider business mailing address

PO BOX 2427
PETOSKEY MI
49770-1927
US

V. Phone/Fax

Practice location:
  • Phone: 989-348-3090
  • Fax:
Mailing address:
  • Phone: 989-348-3090
  • Fax: 989-348-9547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. GEOFFREY M DAY
Title or Position: PRESIDENT/ CEO
Credential: D.P.M.
Phone: 989-348-3090