NPI 1114239886

Podcare

Organisation Podiatrist Saint Clair Shores, MI

Practice location

Address: 21327 Harper Ave Suite C, Saint Clair Shores, MI 48080-2200
Phone: (989) 791-2455
Fax: (989) 791-2455
Mailing address: 3061 Christy Way, Saginaw, MI 48603-2267

Authorised official

Name: Steven Repitor
Title: Ceo
Phone: (989) 791-2455

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence SR400227 (MI)

Other Podiatrist providers in Michigan →

Registry record

NPI: 1114239886
Entity type: Organization
NPI issued: 9 Jul 2010
Record last updated: 9 Jul 2010

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.