Organization Active NPI

Peter M Wilusz DPM PC

Doing business as Town Center Foot and Ankle Clinic

  • Podiatrist
  • Clarkston, MI
National Provider Identifier
1851558787
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PW002033 Issued in MI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.