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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHANTALE ESTHER BOTHUELL, D.P.M.

Active Sole Proprietor

DR. CHANTALE ESTHER BOTHUELL, D.P.M. is a Podiatrist healthcare provider located in KEEGO HARBOR, Michigan. NPI 1457566341 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · KEEGO HARBOR, MI

Registration Details

NPI Number
1457566341
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2007 (19.262644707606 yrs)
Last Updated
Mar 9, 2017
License
5901002140 (MI)
Sole Proprietor
Yes

Practice Information

Address
2424 FORDHAM ST
KEEGO HARBOR, MI, 483201412
Browse MI providers · Browse ZIP 48320
Phone
3133847300
Fax
2487474014
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.