Healthcare Provider Details

I. General information

NPI: 1720201015
Provider Name (Legal Business Name): TRAN- LEE FOOT & ANKLE SPECIALTY CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 03/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28001 SCHOENHERR RD #1
WARREN MI
48088-4396
US

IV. Provider business mailing address

18800 SANDHURST DR
CLINTON TWP MI
48038-4979
US

V. Phone/Fax

Practice location:
  • Phone: 586-576-1816
  • Fax: 586-576-1817
Mailing address:
  • Phone: 586-228-6688
  • Fax: 586-228-6688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. AMNY TRAN
Title or Position: PHYSICIAN
Credential: D.P.M
Phone: 586-228-6688