Anderson Podiatry PC
Podiatrist in Royal Oak, MI. Organization (NPI-2).
NPI number1326819574
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1326819574
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderson Podiatry PC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2024
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
30301 Woodward Ave Ste 120Royal Oak, MI 48073-0981
Phone 248-435-6622
Mailing address
2829 Rambling WayBloomfield Township, MI 48302-1046
Phone 248-227-1736
Other practice locations
2829 Rambling Way
Bloomfield Township, MI 48302-1046
Bloomfield Township, MI 48302-1046
Phone 248-227-1736
Authorized official
Rhodonna Anderson
Wner
2482271736
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