NPI 1629319207 · live from the CMS NPI Registry
Advance Family Foot & Ankle
Podiatrist, Foot & Ankle Surgery in Canton, MI. National Provider Identifier 1629319207, active.
NPI record
| NPI | 1629319207 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 8596 N Canton Center Rd, Canton, MI 48187 |
| Practice phone | 313-319-9299 |
| Mailing address | 23215 Cheltenham Ln, Dearborn Heights, MI 48127 |
| Enumerated | March 7, 2013 |
| Last updated | March 18, 2013 |
| Authorized official | Janet Baatile-Ajrouche, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5901002291 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.