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Dr. SAMUEL THADDEUS AUSTIN DPM

Individual Provider (NPI-1) Active

Podiatrist

Provider Information

NPI Number
1891222964
Provider Type
Individual Provider (NPI-1)
Credentials
DPM
Status
Active

Contact & Location

Address
22720 MICHIGAN AVE STE 175, DEARBORN, MI, 481242000
Phone
(248) 717-0000
Fax
(248) 617-0006

Specialties & Taxonomies

Podiatrist Primary License: MI #5901400369
Podiatrist, Foot & Ankle Surgery License: MI #5901400369

All Addresses

LOCATION

22720 MICHIGAN AVE STE 175

DEARBORN, MI, 481242000

(248) 717-0000

MAILING

22720 MICHIGAN AVE STE 175

DEARBORN, MI, 481242000

(248) 717-0000