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General NPI Number Information
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NPI Number | 1083488670
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Entity Type | Organization
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Legal Business Name | BALANCE FOOT & ANKLE PLLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 4330 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-8582
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Country | US
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Telephone | 810-206-1402
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Fax | 833-450-6201
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Provider Business Mailing Address
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Address Line | 4330 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-8582
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Country | US
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Telephone | 810-206-1402
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Fax | 248-707-2827
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Authorized Official
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Title or Position | OWNER
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Name | TOMASZ BIERNACKI
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Credential | DPM
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Telephone | 734-635-7104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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