Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1104085083

Center for Reconstructive Surgery of the Foot Ankle & Leg, PLLC provides Foot & Ankle Surgery Podiatrist services in Oak Park, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13855 W 9 Mile Rd Ste C
Oak Park, MI 48237-2775 Not confirmed with CMS for 14 years — call before visiting
Phone: (248) 545-4110
Fax: (248) 544-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901002201 (MI)

Record details

NPI number1104085083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sehra Siddique — Manager · (248) 545-4110
Other names Reconstructive Foot Clinic
NPI enumeratedJune 5, 2008
Last updated in NPPESAugust 4, 2012
Mailing address13855 W 9 Mile Rd, Suite C, Oak Park, MI 48237-2775

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