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General NPI Number Information
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NPI Number | 1184528473
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Entity Type | Organization
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Legal Business Name | WEST MICHIGAN FOOT AND ANKLE PLLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1710 US HIGHWAY 31 S
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City | MANISTEE
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State | MI
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Zip | 49660-8931
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Country | US
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Telephone | 231-398-5080
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Fax | 231-600-7077
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Provider Business Mailing Address
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Address Line | 333 N JEBAVY DR
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City | LUDINGTON
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State | MI
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Zip | 49431-1923
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Country | US
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Telephone | 231-843-2690
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Fax | 231-600-7077
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Authorized Official
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Title or Position | DOCTOR, OWNER OF PRACTICE
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Name | DR. ALEXUS SQUIRES
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Credential | DPM
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Telephone | 231-843-2690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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