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General NPI Number Information
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NPI Number | 1154460962
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE SPECIALISTS OF WEST MICHIGAN P L L C
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2144 E PARIS SE STE 100
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-281-0666
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Fax | 616-281-0752
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Provider Business Mailing Address
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Address Line | 2144 EAST PARIS AVENUE SE SUITE 100
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City | GRAND RAPIDS
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State | MI
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Zip | 49546
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Country | US
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Telephone | 616-281-0666
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Fax | 616-281-0752
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Authorized Official
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Title or Position | EXECUTIVE CHAIRMAN
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Name | LOWELL WEIL JR.
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Credential | DPM
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Telephone | 847-390-7666
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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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