Provider Demographics
NPI:1275559726
Name:WESTLAND FOOT & ANKLE SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:WESTLAND FOOT & ANKLE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:734-525-2555
Mailing Address - Street 1:35210 NANKIN BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-7217
Mailing Address - Country:US
Mailing Address - Phone:734-525-2555
Mailing Address - Fax:734-525-3876
Practice Address - Street 1:35210 NANKIN BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-7217
Practice Address - Country:US
Practice Address - Phone:734-525-2555
Practice Address - Fax:734-525-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000964213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1372780Medicaid
MI3051881Medicaid
MI3450124Medicaid
U42521Medicare UPIN
U57770Medicare UPIN
MI1372780Medicaid
MI3051881Medicaid
0Q24578Medicare ID - Type Unspecified