Doctor Name: | DR. SETH M FELICE |
NPI Number: | 1023306917 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 5901002331 |
Business Practice Address: | 14229 Torrey Rd Suite 1 Fenton, MI - 484303308 |
Business Phone Number: | 2183107222 |
Business Fax Number: | 8106299243 |
Mailing Address: | 14229 Torrey Rd, Suite 1 FENTON |
State: | MI |
Postal Code: | 484303308 |
Phone Number: | 2183107222 |
Fax Number: | 8106299243 |
NPI Enumeration Date: | 07/13/2011 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901002331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |