Provider Demographics
NPI:1861778862
Name:MICHAEL D PAPSON DPM PLLC
Entity type:Organization
Organization Name:MICHAEL D PAPSON DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:PAPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:517-281-6881
Mailing Address - Street 1:612 W LAKE LANSING RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8528
Mailing Address - Country:US
Mailing Address - Phone:517-281-6881
Mailing Address - Fax:
Practice Address - Street 1:612 W LAKE LANSING RD
Practice Address - Street 2:SUITE 700
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8528
Practice Address - Country:US
Practice Address - Phone:517-281-6881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty