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NPI Code Detail

MEDICARE: MICHIGAN PODIATRY INSTITUTE, P.C.

MEDICARE: MICHIGAN PODIATRY INSTITUTE, P.C.
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
1213E00000XPodiatrist5901000484MI

General Provider Information

NPI Number : 1689684870
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHIGAN PODIATRY INSTITUTE, P.C.
Provider Business Mailing Address
First Line : 1026 S WASHINGTON AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-3218
Country : US
Telephone Number : 248-541-4311
Fax Number : 248-541-9036
Provider Business Practice Location Address
First Line : 1026 S WASHINGTON AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-3218
Country : US
Telephone Number : 248-541-4311
Fax Number : 248-541-9036
Authorized Official
Title or Position : PODIATRIST
Name : DR. ALAN R. CORNFIELD
Credential : D.P.M.
Telephone Number : 248-541-4311
Provider Enumeration Date : 08/09/2006
Last Update Date : 03/15/2011

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Directions to “MICHIGAN PODIATRY INSTITUTE, P.C. ” Practice Location

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