Healthcare Provider Details

I. General information

NPI: 1669575262
Provider Name (Legal Business Name): MOTOR CITY PODIATRY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23423 RYAN RD MOTOR CITY POD ASSOC PC
WARREN MI
48091-1927
US

IV. Provider business mailing address

23423 RYAN RD MOTOR CITY PODIATRY ASSOCIATES PC
WARREN MI
48091-1927
US

V. Phone/Fax

Practice location:
  • Phone: 586-755-0022
  • Fax: 586-755-0066
Mailing address:
  • Phone: 586-755-0022
  • Fax: 586-755-0066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDS000554
License Number StateMI

VIII. Authorized Official

Name: DR. BRIAN DRESSLER
Title or Position: OWNER
Credential: DPM
Phone: 586-755-0022