Get to know the people caring for your feet. Balance Foot & Ankle provides foot and ankle care at our Howell and Bloomfield Township offices in Michigan.
1,200+ Google reviews across both offices and our doctors’ listings. Read patient reviews.
Meet our podiatrists
Explore each doctor’s profile, then check appointment availability for your preferred office. Call our team if you would like help choosing a doctor or location.

Tom Biernacki, DPM
Read about Dr. Biernacki’s background and approach to foot and ankle care.
Meet Dr. Biernacki
Carl Jay, DPM
Read about Dr. Jay’s background and approach to foot and ankle care.
Meet Dr. Jay
Daria Gutkin, DPM
Read about Dr. Gutkin’s background and approach to foot and ankle care.
Meet Dr. GutkinWhat to expect from your visit
- Share your concerns. Tell your podiatrist what is bothering you, how it affects your day, and what you hope to improve.
- Understand the findings. Your evaluation helps guide the discussion about your symptoms and whether further testing is needed.
- Discuss your options. Ask about the benefits, risks, expected recovery, and costs of the options recommended for you.
Explore conditions and symptoms or learn about treatment options.
Choose your office
Online scheduling is available 24/7. Appointment times and provider availability vary by office. For current office hours and more visit details, view our locations page.
Howell office
4330 E Grand River AveHowell, MI 48843Directions to Howell
Bloomfield Township office
43494 Woodward Ave, Suite 208Bloomfield Township, MI 48302Directions to Bloomfield Township
Need help finding an appointment? Call (810) 206-1402 or contact our team.
Before your first appointment
Bring your medication list, insurance information, and any relevant prior records. Our new-patient information explains how to prepare.
Referral, authorization, coverage, and out-of-pocket costs vary by insurance plan. Review our insurance and cost information and check with your insurer or our team before your visit.
For visits without insurance, see the self-pay information. Read our privacy policy for information about privacy practices.
In the community
Outside the clinic, Dr. Biernacki is starting Ultimate Together, a beginner-friendly adult pickup ultimate frisbee group forming in the Howell and Brighton area. It is free to join, no experience is needed, and the first games are planned for spring 2027.
Learn more about foot health
Explore the patient resource library, look up a term in our podiatric glossary, or visit the practice’s YouTube channel.
Condition guides and other resources
Medical-legal and professional inquiries
Information about Dr. Biernacki’s medical-legal work and engagement terms is available on the foot and ankle expert witness page. Case materials should not be sent to the clinical office.