NPI 1962570853 · live from the CMS NPI Registry
Associated Foot Clinic Of Fenton, P.C.
Podiatrist, Foot & Ankle Surgery in Fenton, MI. National Provider Identifier 1962570853, active.
NPI record
| NPI | 1962570853 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 102 N Adelaide St, Fenton, MI 48430 |
| Practice phone | 810-750-8300 |
| Mailing address | 191 N Park Blvd, Lake Orion, MI 48362 |
| Enumerated | December 1, 2006 |
| Last updated | October 6, 2009 |
| Authorized official | Jeffrey Noroyan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | JN001106 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.