Organization · Type 2 NPI
Foot & Ankle Specialists of West Michigan P L L C
Foot & Ankle Surgery Podiatrist · Newaygo, MI
NPI number
1114755634
Active
Practice location
501 W Washington St
Newaygo, MI 49337-8036
Mailing address
2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1114755634
Foot & Ankle Specialists of West Michigan P L L C's National Provider Identifier is 1114755634, issued on Jul 25, 2024. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Newaygo, MI. The record was last updated on Aug 9, 2024.