Organization · Type 2 NPI

Three Rivers Health System, Inc

Foot & Ankle Surgery Podiatrist · Portage, MI

NPI number 1992197925 Active

Practice location

7971 Moorsbridge Rd
Portage, MI 49024-4075

Fax (269) 323-2095

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

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

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About NPI 1992197925

Three Rivers Health System, Inc's National Provider Identifier is 1992197925, issued on Feb 27, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Portage, MI. The record was last updated on Jul 22, 2024.