Organization · Type 2 NPI
Southgate Foot and Ankle Center PLLC
Podiatric Clinic/Center · Southgate, MI
NPI number
1154391985
Active
Practice location
14535 Northline Rd.
Southgate, MI 48195-2446
Fax (734) 285-9256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | DZ400138 (MI) |
Podiatric Clinic/Center: Definition to come...
About NPI 1154391985
Southgate Foot and Ankle Center PLLC's National Provider Identifier is 1154391985, issued on Jan 24, 2006. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Southgate, MI. The record was last updated on Mar 4, 2009.