| Organization Name: | NORTHERN FOOT & ANKLE CENTERS PC |
| NPI Number: | 1790938926 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG PILICHOWSKI (OWNER) |
| Mailing Address: | 4656 E F 41 Oscoda |
| State: | MI US |
| Postal Code: | 487502227 |
| Phone Number: | 9893543309 |
| Fax Number: | 9893549190 |
| NPI Enumeration Date: | 10/31/2008 |
| NPI Last Update Date: | 02/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | CP001908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |