Provider Demographics
NPI:1811578438
Name:FOOT & ANKLE SPECIALISTS OF BAY CITY, PLLC
Entity Type:Organization
Organization Name:FOOT & ANKLE SPECIALISTS OF BAY CITY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUSSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:AOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:989-667-3668
Mailing Address - Street 1:3601 WILDER RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2113
Mailing Address - Country:US
Mailing Address - Phone:989-667-3668
Mailing Address - Fax:989-667-3670
Practice Address - Street 1:3601 WILDER RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2113
Practice Address - Country:US
Practice Address - Phone:989-667-3668
Practice Address - Fax:989-667-3670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty