MEDICARE: DR. MICHAEL ALAN SAGINAW DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	0816	TX

General Provider Information

NPI Number	:	1144228511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALAN SAGINAW DPM

Provider Business Mailing Address
First Line	:	5601A W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-4309
Country	:	US
Telephone Number	:	214-366-4600
Fax Number	:	214-366-4603

Provider Business Practice Location Address
First Line	:	5601A W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-4309
Country	:	US
Telephone Number	:	214-366-4600
Fax Number	:	214-366-4603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	12/12/2008

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