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Bc Podiatry PLLC

Podiatrist in Troy, MI. Organization (NPI-2).

NPI number1720380975
StatusActive
Last updated in NPPESMay 22, 2023

Details

NPI
1720380975
Entity type
Organization (NPI-2)
Legal business name
Bc Podiatry PLLC
Organization subpart
No
Enumeration date
Nov 20, 2010
Certification date
May 22, 2023
Last updated
May 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
335E00000X Prosthetic/Orthotic Supplier––

Other names

  • Gentle Foot & Ankle Care LLC (Doing Business As)

Practice location

89 W South Blvd
Ste. 500
Troy, MI 48085-1611

Phone 248-509-7086 · Fax 248-289-1853

Mailing address

4123 Martin Rd
Ste 101
Commerce Township, MI 48390-4151

Phone 248-363-3777

Authorized official

Brian Burkardt Dpm
Owner/Physican
7343082973

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