Organization · Type 2 NPI

Great Lakes Foot & Ankle Institute PLLC

Anatomic Pathology & Clinical Pathology Physician · Chesterfield, MI

NPI number 1417620170 Active

Practice location

32743 23 Mile Rd Ste 110
Chesterfield, MI 48047-2082

Fax (586) 725-0984

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology Physician 207ZP0101XNone listed
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XNone listed
Clinical Pathology/Laboratory Medicine Physician 207ZP0105XNone listed

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

9 other providers at this address

About NPI 1417620170

Great Lakes Foot & Ankle Institute PLLC's National Provider Identifier is 1417620170, issued on Jul 28, 2021. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Chesterfield, MI. The record was last updated on May 17, 2025.