Georgetown Podiatric Surgeons PC
Podiatrist, Foot & Ankle Surgery in Sterling Heights, MI. Organization (NPI-2).
NPI number1508905985
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1508905985
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgetown Podiatric Surgeons PC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 5901000652 | MI | Yes |
Practice location
3058 Metropolitan Pkwy Ste 206Sterling Heights, MI 48310-3680
Phone 586-977-7200 · Fax 586-977-7291
Mailing address
3058 Metropolitan Pkwy Ste 206Sterling Heights, MI 48310-3680
Phone 586-977-7200 · Fax 586-977-7291
Authorized official
Lawrence A Young
Owner
5869777200
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