Tawas Foot Clinic P.C.
Podiatrist, Primary Podiatric Medicine in Tawas City, MI. Organization (NPI-2).
NPI number1528094489
StatusActive
Last updated in NPPESFeb 19, 2014
Details
- NPI
- 1528094489
- Entity type
- Organization (NPI-2)
- Legal business name
- Tawas Foot Clinic P.C.
- Organization subpart
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Feb 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 5901001133 | MI | Yes |
Practice location
166 M 55Tawas City, MI 48763
Phone 989-362-6558 · Fax 989-362-7168
Mailing address
Po Box 178Tawas City, MI 48764-0178
Phone 989-362-6558 · Fax 989-365-7168
Authorized official
Ryan R Wright
Business Manager
9893626558
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