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Organization
RANDY FELDMAN DPM LLC
Active
Organization
RANDY FELDMAN DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BURKARDT DPM (OWNER/PHYSICAN)
(248) 676-2080
Entity
Organization
Contact information
Practice address
1501 N MILFORD RD, STE. 200, MILFORD, MI 48381-1006
(248) 676-2080
Mailing address
1501 N MILFORD RD, STE. 200, MILFORD, MI 48381-1006
(248) 676-2080
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P15390
MEDICARE PLUS BLUE
MI
01
—
480F337000
BLUE CARE NETWORK
MI
01
—
480F394260
BLUE CROSS BLUE SHIELD
—
05
—
492996413
—
MI
01
—
6242670002
MEDICARE DMEPOS
—
Enumeration date
11/20/2010
Last updated
03/16/2011
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