Excel Footcare
NPI #1912229105 in Keego Harbor, Michigan
Provider Information
- NPI Number
- 1912229105
- Entity Type
- Organization
- Organization Name
- Excel Footcare
- Primary Specialty
- Podiatrist
- Enumeration Date
- Feb 16, 2010
- Last Updated
- Mar 21, 2013
Practice Location
- Address
- 2424 FORDHAM ST
- City
- Keego Harbor
- State
- Michigan
- ZIP Code
- 48320-1412
- Phone
- (313) 384-7300
Authorized Official
- Name
- DR. CHANTALE E BOTHUELL, D.P.M.
- Title
- CEO
- Phone
- (313) 384-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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