OrganizationActive
Allen Park Footcare Specialist PLLC
NPI 1790883056 · Podiatric Clinic/Center · Allen Park, MI
Provider details
- NPI number
- 1790883056
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brian Homer, Owner
- License
- 5901001699 (MI)
Practice location
19250 Ecorse Rd
Allen Park, MI 48101-2260
Phone: (313) 294-9700
Fax: (313) 294-9700
Mailing address
19250 Ecorse Rd
Allen Park, MI 48101-2260
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2011-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.