Healthcare Provider Details

I. General information

NPI: 1083488670
Provider Name (Legal Business Name): BALANCE FOOT & ANKLE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 E GRAND RIVER AVE
HOWELL MI
48843-8582
US

IV. Provider business mailing address

4330 E GRAND RIVER AVE
HOWELL MI
48843-8582
US

V. Phone/Fax

Practice location:
  • Phone: 810-206-1402
  • Fax: 833-450-6201
Mailing address:
  • Phone: 810-206-1402
  • Fax: 248-707-2827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: TOMASZ BIERNACKI
Title or Position: OWNER
Credential: DPM
Phone: 734-635-7104