Organization · Type 2 NPI
Eastside Podiatry PLLC
Foot & Ankle Surgery Podiatrist · Fraser, MI
NPI number
1831098391
Active
Practice location
31046 Utica Rd
Fraser, MI 48026-2534
Mailing address
24025 Greater Mack Ave Ste 101
St. Clair Shores, MI 48080-4311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1831098391
Eastside Podiatry PLLC's National Provider Identifier is 1831098391, issued on Nov 2, 2026. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fraser, MI. The record was last updated on Nov 2, 2026.