MEDICARE: ADVANCED FOOT CARE, 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
1	261QP1100X	Podiatric Clinic/Center

General Provider Information

NPI Number	:	1992985881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED FOOT CARE, P.C.

Provider Business Mailing Address
First Line	:	41400 DEQUINDRE RD
Second Line	:	SUITE 100
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3763
Country	:	US
Telephone Number	:	586-731-7873
Fax Number	:	586-731-7912

Provider Business Practice Location Address
First Line	:	41400 DEQUINDRE RD
Second Line	:	SUITE 100
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-3763
Country	:	US
Telephone Number	:	586-731-7873
Fax Number	:	586-731-7912

Authorized Official
Title or Position	:	PRESIDANT
Name	:	MICHAEL LOUIS GERBER
Credential	:	DPM
Telephone Number	:	586-731-7873

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	04/09/2008

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