| Disorders Of The Foot | |
|
35 Church St, Mount Clemens, MI 48043-2331 | |
| (586) 463-1555 | |
| (586) 463-7550 |
| Full Name | Disorders Of The Foot |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 35 Church St, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316129919 | NPI | - | NPPES |
| 1397171 | Medicaid | MI | |
| 480002510 | Other | MI | RAILROAD MEDICARE |
| LG001020 | Other | MI | LICENSE NUMBER |
| 4855050200 | Other | MA | BCBS PIN |
| P79090 | Other | MI | BLUE CARE NETWORK |
| ADR5 | Other | MI | NEIC SITE ID |
| 145899 | Other | MI | SELECTCARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | LG001020 (Michigan) | Primary |
| 335E00000X | Prosthetic/orthotic Supplier | LG001020 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Disorders Of The Foot 35 Church St, Mount Clemens, MI 48043-2331 Ph: (586) 463-1555 | Disorders Of The Foot 35 Church St, Mount Clemens, MI 48043-2331 Ph: (586) 463-1555 |
Dhara Ramesh Patel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Thomas C Hosey Dpm & Associates Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 253 S Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-5445 Fax: 586-468-8359 | |
Matthew Walter Maciejewski, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Wyatt Thielman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Marwa Hmady, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Mohamed Ali Esa, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 |