James M Pouillon Dpm Plc

NPI #1144750373 in Grandville, Michigan

Provider Information

NPI Number: 1144750373
Entity Type: Organization
Organization Name: James M Pouillon Dpm Plc
Primary Specialty: Podiatrist
Enumeration Date: Jun 20, 2017
Last Updated: Jun 20, 2017

Practice Location

Address: 3050 IVANREST AVE SW STE E
City: Grandville
State: Michigan
ZIP Code: 49418-1400
Phone: (616) 406-0102

Authorized Official

Name: JAMES M POUILLON, DPM
Title: PHYSICIAN
Phone: (616) 405-0102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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