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

Portage Podiatry PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1295996502

Portage Podiatry PC is a Foot & Ankle Surgery Podiatrist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1508 W Centre Ave
Portage, MI 49024-5356
Phone: (269) 327-4447
Fax: (269) 327-3120
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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 5901001113 (MI)

Record details

NPI number1295996502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Vanderbie — Physican · (269) 327-4447
NPI enumeratedJune 19, 2008
Last updated in NPPESJune 19, 2008
Mailing address1508 W Centre Ave, Portage, MI 49024-5356

Other providers in Portage