Provider Demographics
NPI:1669575262
Name:MOTOR CITY PODIATRY ASSOCIATES PC
Entity type:Organization
Organization Name:MOTOR CITY PODIATRY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:586-755-0022
Mailing Address - Street 1:23423 RYAN RD
Mailing Address - Street 2:MOTOR CITY PODIATRY ASSOCIATES PC
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-1927
Mailing Address - Country:US
Mailing Address - Phone:586-755-0022
Mailing Address - Fax:586-755-0066
Practice Address - Street 1:23423 RYAN RD
Practice Address - Street 2:MOTOR CITY POD ASSOC PC
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-1927
Practice Address - Country:US
Practice Address - Phone:586-755-0022
Practice Address - Fax:586-755-0066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOTOR CITY PODIATRY ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-07
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS000554213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E01281OtherBLUE CROSS
MI1366925Medicaid
MI0E01281OtherBLUE CROSS
MI1128310003Medicare NSC