Organization · Type 2 NPI

Southwest Footcare Specialists, P.c.

Foot & Ankle Surgery Podiatrist · Portage, MI

NPI number 1457596793 Active

Practice location

6812 Shallowford Way
Portage, MI 49024-1715

Mailing address

PO Box 2078
Portage, MI 49081-2078

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5901001629 (MI)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1457596793

Southwest Footcare Specialists, P.c.'s National Provider Identifier is 1457596793, issued on Dec 15, 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 Dec 16, 2008.