DR. DPM Thomas Daniel Paholak, NPI 1710934955
Podiatrist in Huntington Woods, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710934955
NPI Entity Type Individual
Provider Name DR. DPM Thomas Daniel Paholak
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 12786 Lasalle Ln, Huntington Woods, MI, US
Provider Mailing Address 6374 N Lincoln Ave Ste 303, Chicago, IL, US, 606591283
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

213E00000X

Taxonomy Name Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

License No. 5901001714
License State MI
Description A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

DR. DPM Thomas Daniel Paholak
12786 Lasalle Ln

Huntington Woods, MI, US

Phone: 248-572-3900
Fax: 248-572-1277

Mailing Address

DR. DPM Thomas Daniel Paholak
6374 N Lincoln Ave Ste 303
Chicago, IL, US
ZIP 606591283
Phone: 773-866-9800
Fax: 773-866-1733

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

213E00000X

Podiatric Medicine & Surgery Service Providers

Podiatrist

016004340 IL No

213ES0131X

Podiatric Medicine & Surgery Service Providers

Podiatrist

016-004340 IL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
016-004340 IL IL STATE LICENSE 01
0001623503 IL BCBS 01
016-004340 IL MEDICAID 05
480027688 IL RAILROAD MEDICARE 01

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1659096923

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Logan Morse

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7343 Oakhaven Ct Ne

Ada, MI

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