NPI 1053914481 · live from the CMS NPI Registry
Ankle & Foot Associates Of Northern Michigan PC
Podiatrist, Foot & Ankle Surgery in Houghton Lake, MI. National Provider Identifier 1053914481, active.
NPI record
| NPI | 1053914481 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5213 W Houghton Lake Dr, Houghton Lake, MI 48629 |
| Practice phone | 989-275-3668 |
| Mailing address | Po Box 949, Roscommon, MI 48653 |
| Enumerated | November 18, 2020 |
| Last updated | February 20, 2024 |
| Authorized official | Brian Brausa, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.