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General NPI Number Information
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NPI Number | 1750307385
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Entity Type | Organization
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Legal Business Name | MICHIGAN FOOT AND ANKLE CENTER P C
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 14555 LEVAN RD SUITE E302
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City | LIVONIA
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State | MI
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Zip | 48154-5083
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Country | US
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Telephone | 734-591-6612
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Fax | 734-591-6621
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Provider Business Mailing Address
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Address Line | 9400 S CICERO AVE STE 100
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City | OAK LAWN
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State | IL
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Zip | 60453-2536
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Country | US
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Telephone | 708-424-3201
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Fax | 708-424-5001
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Authorized Official
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Title or Position | CMO
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Name | STEPHEN FRASCONE
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Credential | DPM
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Telephone | 586-725-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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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