NPI 1003809682

South Lyon Foot & Ankle Specialists, P.C.

Organisation Podiatrist South Lyon, MI

Practice location

Address: 22245 Pontiac Trl, South Lyon, MI 48178-1639
Phone: (248) 486-8886
Fax: (248) 486-8887

Authorised official

Name: Anthony Mastrogiocomo
Title: Owner/President/Podiatrist
Phone: (248) 486-8886

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Michigan →

Registry record

NPI: 1003809682
Entity type: Organization
NPI issued: 29 Aug 2005
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.