| Organization Name: | FAMILY FOOT AND ANKLE CENTER, P.C. |
| NPI Number: | 1194871202 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL SHINK (OWNER,PHYSICIAN) |
| Mailing Address: | 295 Maple St Suite 201 Tawas City |
| State: | MI US |
| Postal Code: | 487639352 |
| Phone Number: | 9896674663 |
| Fax Number: | 9896671964 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |