Organization · Type 2 NPI
Long Lake Podiatry PC
Foot & Ankle Surgery Podiatrist · Troy, MI
NPI number
1962526624
Active
Practice location
2914 E Long Lake Rd
Troy, MI 48085-3780
Fax (248) 528-1807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 5901001005 (MI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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- Matthew D Andrews DPM PCFoot & Ankle Surgery Podiatrist Troy, MI NPI 1992363097
About NPI 1962526624
Long Lake Podiatry PC's National Provider Identifier is 1962526624, issued on Mar 19, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Troy, MI. The record was last updated on Sep 30, 2025.