Healthcare Provider Details

I. General information

NPI: 1871563510
Provider Name (Legal Business Name): MOBILE PODIATRY ASSOCIATES, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27718 FRANKLIN RD
SOUTHFIELD MI
48034-2352
US

IV. Provider business mailing address

27718 FRANKLIN RD
SOUTHFIELD MI
48034-2352
US

V. Phone/Fax

Practice location:
  • Phone: 248-355-9300
  • Fax: 248-355-3626
Mailing address:
  • Phone: 248-355-9300
  • Fax: 248-355-3626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL ARONOVITZ
Title or Position: OWNER
Credential: D.P.M.
Phone: 248-355-9300