Individual provider · Type 1 NPI

James M. Pouillon, DPM

Foot & Ankle Surgery Podiatrist · Grandville, MI

NPI number 1710070883 Active

Practice location

3050 Ivanrest Ave SW Ste E
Grandville, MI 49418-1400

Fax (616) 406-0105

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5901002014 (MI)

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

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About NPI 1710070883

James M. Pouillon, DPM's National Provider Identifier is 1710070883, issued on Oct 2, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grandville, MI. The record was last updated on Dec 15, 2017.