MEDICARE: PURE MICHIGAN FOOT AND ANKLE CLINIC PLLC

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

General Provider Information

NPI Number	:	1386523124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE MICHIGAN FOOT AND ANKLE CLINIC PLLC

Provider Business Mailing Address
First Line	:	2034 LAKE WIND DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-1823
Country	:	US
Telephone Number	:	248-565-7112
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 LIVERNOIS RD STE 100
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-1603
Country	:	US
Telephone Number	:	248-565-7112
Fax Number	:

Authorized Official
Title or Position	:	DPM/OWNER
Name	:	RANI DABAL
Credential	:
Telephone Number	:	248-565-7112

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	03/23/2026

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