Affiliated Podiatrist, P.c.

NPI #1194906479 in Wayne, Michigan

Provider Information

NPI Number: 1194906479
Entity Type: Organization
Organization Name: Affiliated Podiatrist, P.c.
Primary Specialty: Podiatrist
Enumeration Date: Nov 15, 2007
Last Updated: May 1, 2008

Practice Location

Address: 35519 E MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-1682
Phone: (734) 721-0561

Authorized Official

Name: ARTHUR BRUCE KELLERT, D.P.M.
Title: PODIATRIST
Phone: (734) 721-0561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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