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West Michigan Foot And Ankle PLLC

Clinic/Center, Podiatric in Ludington, MI. Organization (NPI-2).

NPI number1497350797
StatusActive
Last updated in NPPESMar 17, 2025

Details

NPI
1497350797
Entity type
Organization (NPI-2)
Legal business name
West Michigan Foot And Ankle PLLC
Organization subpart
No
Enumeration date
Dec 3, 2020
Certification date
Mar 17, 2025
Last updated
Mar 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP1100X Clinic/Center, Podiatric––Yes

Practice location

333 N Jebavy Dr
Ludington, MI 49431-1923

Phone 231-843-2690 · Fax 231-600-7077

Mailing address

333 N Jebavy Dr
Ludington, MI 49431-1923

Authorized official

Alexus Squires
Dpm
2318432690

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