Clinton Foot & Ankle Clinic PC

NPI #1154426484 in Clinton, Michigan

Provider Information

NPI Number: 1154426484
Entity Type: Organization
Organization Name: Clinton Foot & Ankle Clinic PC
Primary Specialty: Podiatrist
Enumeration Date: Sep 13, 2006
Last Updated: Aug 25, 2010

Practice Location

Address: 1671 W MICHIGAN AVE
Address 2: STE C-1
City: Clinton
State: Michigan
ZIP Code: 49236-8702
Phone: (517) 456-4114

Authorized Official

Name: CHERI ROSE DEROCHIE
Title: BILLING MANAGER
Phone: (620) 615-6033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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