Doctor Name: | DR. JOSEPH MCCARTHY |
NPI Number: | 1063520997 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | JM001547 |
Business Practice Address: | 43617 Hillsboro Dr Clinton Township, MI - 480381341 |
Business Phone Number: | 5864124965 |
Business Fax Number: | |
Mailing Address: | 43617 Hillsboro Dr, CLINTON TOWNSHIP |
State: | MI |
Postal Code: | 480381341 |
Phone Number: | 5864124965 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | JM001547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |