NPI 1770324147 · live from the CMS NPI Registry
Mustafa Al-Tameemi, DPM
Podiatrist, Foot & Ankle Surgery in Canton, MI. National Provider Identifier 1770324147, active.
NPI record
| NPI | 1770324147 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 7300 N Canton Center Rd, Canton, MI 48187 |
| Practice phone | 734-454-8001 |
| Mailing address | 33155 Annapolis St, Wayne, MI 48184 |
| Enumerated | June 1, 2024 |
| Last updated | June 4, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 5951001527 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.