MEDICARE: MOTOR CITY PODIATRY ASSOCIATES PC

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	DS000554	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0E01281	OTHER	MI	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669575262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTOR CITY PODIATRY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	23423 RYAN RD
Second Line	:	MOTOR CITY PODIATRY ASSOCIATES PC
City	:	WARREN
State	:	MI
Zip	:	48091-1927
Country	:	US
Telephone Number	:	586-755-0022
Fax Number	:	586-755-0066

Provider Business Practice Location Address
First Line	:	23423 RYAN RD
Second Line	:	MOTOR CITY POD ASSOC PC
City	:	WARREN
State	:	MI
Zip	:	48091-1927
Country	:	US
Telephone Number	:	586-755-0022
Fax Number	:	586-755-0066

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN DRESSLER
Credential	:	DPM
Telephone Number	:	586-755-0022

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	08/30/2024

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