| Professional Foot And Ankle Centers, Pc | |
|
605 S State Rd, Davison, MI 48423-1515 | |
| (810) 653-9060 | |
| (810) 658-2248 |
| Full Name | Professional Foot And Ankle Centers, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 605 S State Rd, Davison, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104025220 | NPI | - | NPPES |
| 4632598 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | MW001983 (Michigan) | Primary |
| Provider Name | Mark R Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669575478 PECOS PAC ID: 7517959182 Enrollment ID: I20040401001647 |
| Provider Name | Jessica E Macsuga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174941116 PECOS PAC ID: 8224332168 Enrollment ID: I20170707000249 |
| Provider Name | Krysta Ann Loveland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346773157 PECOS PAC ID: 2668746348 Enrollment ID: I20200429000342 |
| Provider Name | Jason Paul Weslosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194259747 PECOS PAC ID: 6103190525 Enrollment ID: I20200511000998 |
| Provider Name | Amanda June Marshall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306420393 PECOS PAC ID: 8325443252 Enrollment ID: I20240508002230 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Foot And Ankle Centers, Pc Po Box 480, Davison, MI 48423-0480 Ph: (810) 653-9060 | Professional Foot And Ankle Centers, Pc 605 S State Rd, Davison, MI 48423-1515 Ph: (810) 653-9060 |
Nicholas David Post-vasold, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 605 S State Rd, Davison, MI 48423 Phone: 810-653-9060 Fax: 810-658-2248 | |
Mr. Mark Richard Williams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 605 S State St, Davison, MI 48423 Phone: 810-653-9060 Fax: 810-658-2248 | |
Dr. David T Hehemann, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 605 S State Rd, Davison, MI 48423 Phone: 810-653-9060 |