Advance Family Foot & Ankle
Organization Active NPI Foot & Ankle Surgery Podiatrist · Canton, MI
NPI 1629319207 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1629319207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 5901002291 (MI)
- Legal business name
- ADVANCE FAMILY FOOT & ANKLE
- Practice address
- 8596 N Canton Center Rd
Canton, MI 48187-1310 - Phone
- (313) 319-9299
- NPI assigned
- Mar 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Janet H. Baatile-Ajrouche, D.P.M.
- Title
- Owner
- Phone
- (313) 319-9299
National Provider Directory
Locations
8596 N Canton Center Rd
Canton, MI 48187
Phone (313) 319-9299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 5901002291 | MI | Yes |
Addresses
Primary practice location
8596 N Canton Center Rd
Canton, MI 48187-1310
Mailing address
23215 Cheltenham LN
Dearborn Heights, MI 48127-2367
Phone (313) 319-9299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427203413 | Medicaid | MI |
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All providers in Canton, MI · Foot & Ankle Surgery Podiatrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.