Individual provider · NPI-1

Dr. Michael Dziewit Jr., D.P.M

Podiatrist, Foot & Ankle Surgery · Lansing, MI

NPI number1225569767
StatusActive
Last updated in NPPESDec 15, 2020

Details

NPI
1225569767
Entity type
Individual (NPI-1)
Name
Dr. Michael Dziewit Jr.
Credential
D.P.M
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 26, 2017
Certification date
Aug 4, 2020
Last updated
Dec 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery5901400358MIYes

Practice location

3390 E Jolly Rd
Lansing, MI 48910-8547

Phone 561-882-8673 · Fax 517-882-3935

Mailing address

3390 E Jolly Rd
Lansing, MI 48910-8547

Phone 517-882-8673

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