Provider Demographics
NPI:1447259890
Name:WESTBURY, JAMES G (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:WESTBURY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32432 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0947
Mailing Address - Country:US
Mailing Address - Phone:248-549-2500
Mailing Address - Fax:248-549-1332
Practice Address - Street 1:32432 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0947
Practice Address - Country:US
Practice Address - Phone:248-549-2500
Practice Address - Fax:248-549-1332
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000534213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1084560Medicaid
MI11291891OtherCAQH
MI11291891OtherCAQH
MI1084560Medicaid