Organization · Type 2 NPI

Regents of the University of Michigan

Primary Podiatric Medicine Podiatrist · Ann Arbor, MI

NPI number 1770508350 Active

Practice location

400 E Eisenhower Pkwy, Suite B
Ann Arbor, MI 48108

Mailing address

3621 S State St, Provider Enrollment
Ann Arbor, MI 48108

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XNone listed
Primary Podiatric Medicine Podiatrist Primary 213EP1101XNone listed
Radiology Podiatrist 213ER0200XNone listed
Sports Medicine Podiatrist 213ES0000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed
Foot Surgery Podiatrist 213ES0131XNone listed

Primary Podiatric Medicine Podiatrist: Definition to come...

39 other providers at this address

About NPI 1770508350

Regents of the University of Michigan's National Provider Identifier is 1770508350, issued on Jul 13, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Ann Arbor, MI. The record was last updated on May 3, 2021.