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General NPI Number Information
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NPI Number | 1669756912
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Entity Type | Organization
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Legal Business Name | KALAMAZOO FOOT AND ANKLE SPECIALISTS, PLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 8120 MOORSBRIDGE RD STE 101
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City | PORTAGE
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State | MI
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Zip | 49024-7414
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Country | US
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Telephone | 269-443-8454
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Fax | 269-443-8484
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Provider Business Mailing Address
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Address Line | 8120 MOORSBRIDGE RD STE 101
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City | PORTAGE
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State | MI
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Zip | 49024-7414
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Country | US
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Telephone | 269-443-8454
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Fax | 269-443-8484
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL PAUL MASKILL
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Credential | D.P.M.
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Telephone | 312-497-1672
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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 | 5901002313
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License Number State | MI
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