DR. Chantale Esther Bothuell, D.P.M.

NPI #1457566341 in Keego Harbor, Michigan

Provider Information

NPI Number: 1457566341
Entity Type: Individual
Name: DR. Chantale Esther Bothuell, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: May 14, 2007
Last Updated: Mar 9, 2017

Practice Location

Address: 2424 FORDHAM ST
City: Keego Harbor
State: Michigan
ZIP Code: 48320-1412
Phone: (313) 384-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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