# BRIAN G. LODER DPM PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508004920
- **Authorized official:** BRIAN GEORGE LODER DPM (OWNER)
- **Authorized official phone:** (586) 329-3895

## Contact information

- **Practice address:** 43391 COMMONS DR, CLINTON TWP, MI 48038-1109
- **Practice address phone:** (586) 329-3895
- **Practice address fax:** (586) 329-3916
- **Mailing address:** 15760 19 MILE RD STE E, CLINTON TWP, MI 48038-6319
- **Mailing address phone:** (586) 329-3895
- **Mailing address fax:** (586) 329-3916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901001662 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | MI | — |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 11/02/2022