Organization Name: | ANKLE & FOOT SPECIALTY CLINICS, LLC |
NPI Number: | 1043509433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE SHERIDAN (OWNER) |
Mailing Address: | 416 Woodland Dr Sandusky |
State: | MI US |
Postal Code: | 484711047 |
Phone Number: | 8104143338 |
Fax Number: | 8106488883 |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901001810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |