Lakeview Podiatry Assoc P C
Lakeview Podiatry Assoc P C is a Foot & Ankle Surgery Podiatrist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
22250 Providence Dr Ste 100Southfield, MI 48075-6209
Phone: (248) 424-8637
Fax: (248) 424-8663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 5901000690 (MI) |
|---|
Record details
| NPI number | 1518992536 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Guy Pupp — Physician · (248) 424-8637 |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | October 17, 2017 |
| Mailing address | 22250 Providence Dr Ste 100, Southfield, MI 48075-6209 |
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