Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1891765871
Foot & Ankle Surgery Podiatrist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
20905, East 12 Mile Road, Roseville, Macomb County, Michigan, 48066, United States
SUITE 100
ROSEVILLE, MI 480666501
Phone: (586) 772-3500
Fax: (586) 772-6540
Type: Location
30160, Mayfair Drive, Kings Pointe, Farmington Hills, Oakland County, Michigan, 48331, United States
FARMINGTON HILLS, MI 483312156
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48066)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IN | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI |
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