Provider Demographics
NPI:1174597462
Name:ESBER, MICHAEL F (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:ESBER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 GRANITE VALLEY DR
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375
Mailing Address - Country:US
Mailing Address - Phone:623-546-4930
Mailing Address - Fax:623-546-5979
Practice Address - Street 1:14300 GRANITE VALLEY DR
Practice Address - Street 2:SUITE 5B
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375
Practice Address - Country:US
Practice Address - Phone:623-546-4930
Practice Address - Fax:623-546-5979
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDPM 358213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DPM358Medicare ID - Type Unspecified
U20701Medicare UPIN