Organization · Type 2 NPI
Portage Podiatry PC
Foot & Ankle Surgery Podiatrist · Portage, MI
NPI number
1295996502
Active
Practice location
1508 W Centre Ave
Portage, MI 49024-5356
Fax (269) 327-3120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901001113 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Portage
About NPI 1295996502
Portage Podiatry PC's National Provider Identifier is 1295996502, issued on Jun 19, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Portage, MI. The record was last updated on Jun 19, 2008.