Organization · Type 2 NPI
Lake Podiatry, PC
Foot & Ankle Surgery Podiatrist · South Haven, MI
NPI number
1063449346
Active
Practice location
10570 Blue Star M Hwy
South Haven, MI 49090-8923
Fax (269) 978-2711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901002029 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in South Haven
About NPI 1063449346
Lake Podiatry, PC's National Provider Identifier is 1063449346, issued on Jun 26, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in South Haven, MI. The record was last updated on May 29, 2009.