LAKE PODIATRY, PC

SOUTH HAVEN, MI
NPI1063449346
Entity TypeOrganization
Authorized ContactRAZIUDDIN AHMED
President & CEO
818-518-6768
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MI  5901002029)
Enumeration Date2006-06-26
Last Update Date2009-05-29
Business Address
LAKE PODIATRY, PC
10570 BLUE STAR M HWY
SOUTH HAVEN, MI 49090-8923
Phone number: 269-978-3385
Mailing Address
LAKE PODIATRY, PC
10570 BLUE STAR M HWY
SOUTH HAVEN, MI 49090-8923
Phone number: 269-978-3385