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

South Lyon Foot & Ankle Specialists, PC

Organization Podiatrist · NPI 1003809682

South Lyon Foot & Ankle Specialists, PC provides Podiatrist services in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22245 Pontiac Trl
South Lyon, MI 48178-1639
Phone: (248) 486-8886
Fax: (248) 486-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X (MI)

Record details

NPI number1003809682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Mastrogiocomo — Owner/President/Podiatrist · (248) 486-8886
NPI enumeratedAugust 29, 2005
Last updated in NPPESJuly 21, 2022
Mailing address22245 Pontiac Trl, South Lyon, MI 48178-1639

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