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NPI Code Detail

MEDICARE: DR. MICHAEL FORSLING D.P.M.

MEDICARE: DR. MICHAEL FORSLING D.P.M.
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
1213E00000XPodiatristE3435CA

General Provider Information

NPI Number : 1487622361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL FORSLING D.P.M.
Provider Business Mailing Address
First Line : 3144 SANTA ANITA AVE
Second Line : SUITE 202
City : EL MONTE
State : CA
Zip : 91733-1316
Country : US
Telephone Number : 626-582-7908
Fax Number : 626-401-0171
Provider Business Practice Location Address
First Line : 3144 SANTA ANITA AVE
Second Line : SUITE 202
City : EL MONTE
State : CA
Zip : 91733-1316
Country : US
Telephone Number : 626-582-7908
Fax Number : 626-401-0171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 02/18/2013

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