Organization · NPI-2

Delta Foot Care, P.C.

Podiatrist · Lansing, MI

NPI number1568501062
StatusActive
Last updated in NPPESApr 21, 2009

Details

NPI
1568501062
Entity type
Organization (NPI-2)
Legal business name
Delta Foot Care, P.C.
Organization subpart
No
Enumeration date
Feb 5, 2007
Last updated
Apr 21, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristBG001798MIYes

Practice location

3802 W Kalamazoo St
Lansing, MI 48917-3653

Phone 517-485-7300 · Fax 517-485-7301

Mailing address

3802 W Kalamazoo St
Lansing, MI 48917-3653

Phone 517-485-7300 · Fax 517-485-7301

Authorized official

Brian Spencer Goosen
Owner
5174857300

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