Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 5901002331 | MI |
NPI | 1023306917 |
---|---|
Provider Name | Dr. Seth M Felice |
First Address | Dearborn, MI 48126-2619 |
Second Address | Dearborn, MI 48126-2619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2011 |
Last Update Date | 16/05/2017 |