South Lyon Foot & Ankle Specialists, P.c.
NPI #1003809682 in South Lyon, Michigan
Provider Information
- NPI Number
- 1003809682
- Entity Type
- Organization
- Organization Name
- South Lyon Foot & Ankle Specialists, P.c.
- Primary Specialty
- Podiatrist
- Enumeration Date
- Aug 29, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 22245 PONTIAC TRL
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-1639
- Phone
- (248) 486-8886
Authorized Official
- Name
- DR. ANTHONY MASTROGIOCOMO, DPM
- Title
- OWNER/PRESIDENT/PODIATRIST
- Phone
- (248) 486-8886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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