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Organization
SOUTHFIELD FAMILY FOOT CENTER, P.C.
Active
Organization
SOUTHFIELD FAMILY FOOT CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE B RICHARD D.P.M. (PRESIDENT)
(248) 557-2400
Entity
Organization
Contact information
Practice address
17422 W 10 MILE RD, SOUTHFIELD, MI 48075-2951
(248) 557-2400
(248) 557-5533
Mailing address
17422 W 10 MILE RD, SOUTHFIELD, MI 48075-2951
(248) 557-2400
(248) 557-5533
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480F302060
BCBSM GROUP
MI
Enumeration date
03/29/2006
Last updated
05/23/2008
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