Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Foot & Ankle Specialists of West Michigan P L L C

Organization Foot & Ankle Surgery Podiatrist · NPI 1417155508

Foot & Ankle Specialists of West Michigan P L L C is a Foot & Ankle Surgery Podiatrist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1195 Wilson NW
Grand Rapids, MI 49534-6404
Phone: (616) 453-8277
Fax: (616) 453-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence WD000997 (MI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence OM71140 (MI)

Record details

NPI number1417155508
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFoot & Ankle Specialists of West Michigan P L L C
Authorized official Lowell Weil — Executive Chairman · (847) 390-7666
NPI enumeratedJuly 10, 2007
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address2144 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-6117

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