NPI 1326819574 · live from the CMS NPI Registry
Anderson Podiatry PC
Podiatrist in Royal Oak, MI. National Provider Identifier 1326819574, active.
NPI record
| NPI | 1326819574 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 30301 Woodward Ave Ste 120, Royal Oak, MI 48073 |
| Practice phone | 248-435-6622 |
| Mailing address | 2829 Rambling Way, Bloomfield Township, MI 48302 |
| Enumerated | January 15, 2024 |
| Last updated | January 15, 2024 |
| Authorized official | Rhodonna Anderson, Wner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.