Phillips Foot Clinic

NPI 1295123180 - Podiatrist - 213E00000X

NPI Details
NPI 1295123180
Enumeration Date 12/31/2014
Last Updated 02/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JACQUELINE JACQUELINE
Position PRESIDENT
Phone (313) 499-8307
Fax
Practice Location
5575 CONNER ST
SUITE 203
DETROIT MI, 48213-6400, US
Phone (313) 499-8307
Fax
Business Location
5575 CONNER ST
SUITE 203
DETROIT MI, 48213-6400, US
Phone (313) 499-8307
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Michigan
License Number 5901001422
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According to our database, Phillips Foot Clinic NPI is 1295123180, taxonomy code is 213E00000X and license number is 5901001422, license state is located at Michigan. Phillips Foot Clinic physically located at 5575 Conner St, Detroit MI, 48213-6400. NPI Number 1033115704 has the healthcare provider type.

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1295123180 NPI number is provided on an as is basis without warranty of any kind. 1295123180 is maintained by the National Plan & Provider Enumeration System. The contents of Phillips Foot Clinic are for informational purposes only.