Active NPI
Peter M Wilusz DPM PC
Doing business as Town Center Foot and Ankle Clinic
- Podiatrist
- Clarkston, MI
National Provider Identifier
1851558787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PW002033
- Legal business name
- PETER M WILUSZ DPM PC
- Doing business as
- Town Center Foot and Ankle Clinic
- Practice address
- 6510 Town Center Dr
Suite C
Clarkston, MI 48346-4822 - Phone
- (248) 922-6000
- Fax
- (248) 922-5996
- NPI assigned
- May 19, 2008
- Last updated
- Jul 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Allie Galovich
- Title
- Business Manager
- Phone
- (248) 681-8187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PW002033 | MI | Primary |
Addresses
Primary practice location
6510 Town Center Dr
Suite C
Clarkston, MI 48346-4822
Mailing address
6510 Town Center Dr Ste C
Clarkston, MI 48346-4822
Phone (248) 922-6000
Other names 1
- Town Center Foot and Ankle Clinic
National Provider Directory
National Provider DirectoryLocations
6510 Town Center Dr
Ste C
Clarkston, MI 48346
Phone (248) 922-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1851558787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 TOWN CENTER DR STE C",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464822",
"telephone_number": "248-922-6000",
"fax_number": "248-922-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 TOWN CENTER DR",
"address_2": "SUITE C",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464822",
"telephone_number": "248-922-6000",
"fax_number": "248-922-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER M WILUSZ DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "GALOVICH",
"authorized_official_first_name": "ALLIE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "248-681-8187",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "PW002033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Town Center Foot and Ankle Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.