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NPI Code Detail

MEDICARE: PREFERRED FOOTCARE OF MUNCIE, LLC

MEDICARE: PREFERRED FOOTCARE OF MUNCIE, LLC
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
1213E00000XPodiatrist

General Provider Information

NPI Number : 1689958977
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED FOOTCARE OF MUNCIE, LLC
Provider Business Mailing Address
First Line : 1007 N 16TH ST
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-4320
Country : US
Telephone Number : 765-284-4220
Fax Number : 765-284-5254
Provider Business Practice Location Address
First Line : 1007 N 16TH ST
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-4320
Country : US
Telephone Number : 765-284-4220
Fax Number : 765-284-5254
Authorized Official
Title or Position : OWNER
Name : THOMAS E FREEMAN II
Credential : DPM
Telephone Number : 765-284-4220
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/02/2020

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Directions to “PREFERRED FOOTCARE OF MUNCIE, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.