Northeast Foot & Ankle Clinic Inc

NPI 1497958946 - Podiatrist - 213E00000X

NPI Details
NPI 1497958946
Enumeration Date 06/11/2007
Last Updated 05/20/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL S MICHAEL
Position OWNER PHYSICIAN
Phone (260) 416-0070
Fax (260) 416-0017
Practice Location
2510 E DUPONT RD
STE. 234
FORT WAYNE IN, 46825-1600, US
Phone (260) 416-0070
Fax (260) 416-0017
Business Location
2510 E DUPONT RD
STE. 234
FORT WAYNE IN, 46825-1600, US
Phone (260) 416-0070
Fax (260) 416-0017
Toxanomy
Taxonomy Code 213E00000X
License State Indiana
License Number 07000957A
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According to our database, Northeast Foot & Ankle Clinic Inc NPI is 1497958946, taxonomy code is 213E00000X and license number is 07000957A, license state is located at Indiana. Northeast Foot & Ankle Clinic Inc physically located at 2510 E Dupont Rd, Fort Wayne IN, 46825-1600. NPI Number 1033115704 has the healthcare provider type.

1497958946 NPI number is provided on an as is basis without warranty of any kind. 1497958946 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Foot & Ankle Clinic Inc are for informational purposes only.