NPI 1194906479 · live from the CMS NPI Registry
Affiliated Podiatrist, P.C.
Podiatrist in Wayne, MI. National Provider Identifier 1194906479, active.
NPI record
| NPI | 1194906479 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 35519 E Michigan Ave, Wayne, MI 48184 |
| Practice phone | 734-721-0561 |
| Enumerated | November 15, 2007 |
| Last updated | May 1, 2008 |
| Authorized official | Arthur Kellert, Podiatrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | AK000685 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.