| Family Footcare Of Lincoln Park | |
|
22250 Providence Dr, Suite 302, Southfield, MI 48075-4825 | |
| (248) 557-6500 | |
| (248) 557-2781 |
| Full Name | Family Footcare Of Lincoln Park |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 22250 Providence Dr, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407988223 | NPI | - | NPPES |
| 134123036 | Medicaid | MI | |
| 383484379 | Other | MI | TAX ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5901001881 (Michigan) | Primary |
| Provider Name | Kisha D Murray Dread |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093816753 PECOS PAC ID: 8224009675 Enrollment ID: I20040802000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Footcare Of Lincoln Park Po Box 20848, Ferndale, MI 48220-0848 Ph: (248) 557-6500 | Family Footcare Of Lincoln Park 22250 Providence Dr, Suite 302, Southfield, MI 48075-4825 Ph: (248) 557-6500 |
Medical Mobile Podiatry, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 24293 Telegraph Rd Ste 212, Southfield, MI 48033 Phone: 734-493-1662 | |
Dr. Richard Lee Grant, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29556 Southfield Rd, Suite 107, Southfield, MI 48076 Phone: 248-559-5959 Fax: 248-559-0552 | |
Rashonda Jones, Podiatrist Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Foot And Heel Pain Institute Of Michigan Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 608, Southfield, MI 48075 Phone: 248-557-6500 Fax: 248-557-2781 | |
Michael W Krupic, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 22972 Lahser Rd, Southfield, MI 48033 Phone: 248-353-0096 Fax: 248-353-4235 | |
Dr. Jason Bernard James Kurek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17515 West 9 Mile Rd, Suite 340, Southfield, MI 48075 Phone: 248-569-4000 Fax: 248-569-5771 | |
Dr. Louis Bitoff Jr., DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 17515 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-569-4000 Fax: 248-569-5771 |