Organization · Type 2 NPI
East Side Foot & Ankle Clinic PC
Foot & Ankle Surgery Podiatrist · St. Clair Shores, MI
NPI number
1801910229
Active
Practice location
22301 Greater Mack Ave, Suite 3
St. Clair Shores, MI 48080-2376
Fax (586) 776-7003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901001005 (MI) |
| Customized Equipment (DME) | 332BC3200X | 5901001005 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
5 other providers at this address
- Charles P Beckwell, Dds,plcGeneral Practice Dentistry St. Clair Shores, MI NPI 1487961611
- Charles Patrick Beckwell Jr., D.D.SGeneral Practice Dentistry St. Clair Shores, MI NPI 1619183076
- Conrad Martin Aumann Ii, PhDProfessional Counselor St. Clair Shores, MI NPI 1396902367
- Eve Kaczmarek, MA, LLPCProfessional Counselor St. Clair Shores, MI NPI 1588832752
- Marc R. Roy, DDSGeneral Practice Dentistry St. Clair Shores, MI NPI 1235308990
Other foot & ankle surgery podiatrist providers in St. Clair Shores
About NPI 1801910229
East Side Foot & Ankle Clinic PC's National Provider Identifier is 1801910229, issued on Mar 19, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in St. Clair Shores, MI. The record was last updated on Sep 30, 2025.