Provider Demographics
NPI:1255639951
Name:FAMILY FOOT & ANKLE CARE PLLC
Entity type:Organization
Organization Name:FAMILY FOOT & ANKLE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-760-4882
Mailing Address - Street 1:1118 WEISS ST
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1926
Mailing Address - Country:US
Mailing Address - Phone:989-652-2444
Mailing Address - Fax:
Practice Address - Street 1:1118 WEISS ST
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1926
Practice Address - Country:US
Practice Address - Phone:989-652-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002300213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty