Allen Primary Podiatry
NPI #1699432286 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1699432286
- Entity Type
- Organization
- Organization Name
- Allen Primary Podiatry
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Nov 18, 2021
- Last Updated
- Feb 16, 2023
Practice Location
- Address
- 23801 W WARREN ST STE 102
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48127-2277
- Phone
- (734) 895-4530
Authorized Official
- Name
- ALEX BOUHACHEM, DPM
- Title
- CEO
- Phone
- (734) 895-4530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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