| Organization Name: | LEELANAU FOOT AND ANKLE CENTER, P.C. |
| NPI Number: | 1770931818 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH DANIELLE MILLER (OWNER/ PODIATRIST) |
| Mailing Address: | 718 N Saint Joseph St Unit K-1 Suttons Bay |
| State: | MI US |
| Postal Code: | 496828422 |
| Phone Number: | 2316339515 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2016 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 5901002556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |