Holland Foot And Ankle Center, PC
Durable Medical Equipment & Medical Supplies in Holland, MI. Organization (NPI-2).
NPI number1396282935
StatusActive
Last updated in NPPESNov 24, 2021
Details
- NPI
- 1396282935
- Entity type
- Organization (NPI-2)
- Legal business name
- Holland Foot And Ankle Center, PC
- Organization subpart
- Yes
- Enumeration date
- Jan 20, 2017
- Certification date
- Nov 24, 2021
- Last updated
- Nov 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 213E00000X | Podiatrist | – | MI |
Practice location
445 120th AveHolland, MI 49424-2119
Phone 616-738-1300 · Fax 616-738-0768
Mailing address
904 Washington AveHolland, MI 49423-7724
Phone 616-392-7472 · Fax 616-392-3327
Authorized official
Brent Van Til
Owner
6163927472
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All 13 Durable Medical Equipment & Medical Supplies providers in Holland · All 2,693 providers in Holland
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