906 Footcare Pllc

NPI #1952926412 in Negaunee, Michigan

Provider Information

NPI Number: 1952926412
Entity Type: Organization
Organization Name: 906 Footcare Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Jun 10, 2020
Last Updated: Jun 10, 2020

Practice Location

Address: 199 KIVELA RD
City: Negaunee
State: Michigan
ZIP Code: 49866-9517
Phone: (734) 536-6206

Authorized Official

Name: NICOLE ROTH, PA-C
Title: OWNER
Phone: (906) 203-8973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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