Healthcare Provider Details

I. General information

NPI: 1275559726
Provider Name (Legal Business Name): WESTLAND FOOT & ANKLE SPECIALISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 01/20/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35210 NANKIN BLVD SUITE 301
WESTLAND MI
48185-7217
US

IV. Provider business mailing address

35210 NANKIN BLVD SUITE 301
WESTLAND MI
48185-7217
US

V. Phone/Fax

Practice location:
  • Phone: 734-525-2555
  • Fax: 734-525-3876
Mailing address:
  • Phone: 734-525-2555
  • Fax: 734-525-3876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number5901000964
License Number StateMI

VIII. Authorized Official

Name: DR. HOWARD D KANE
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 734-525-2555