Organization
S. E. MICHIGAN DIAGNOSTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERWIN FELDMAN D.O. (PRESIDENT)
(248) 399-3550
Entity
Organization
Contact information
Practice address
350 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2531
(248) 545-3754
(248) 545-4027
Mailing address
350 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2531
(248) 545-3754
(248) 545-4027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063490894
NPI # GOLDSTEIN
MI
01
—
1205824505
NPI # RUBIN
MI
01
—
1346212800
NPI BORIN
MI
01
—
1376540286
NPI # KACHADURIAN
MI
01
—
1437181146
NPI # MELLEN
MI
01
—
1588661391
NPI # ELKISS
MI
01
—
1891751509
NPI KOVAN
MI
01
—
DE3703
RAILROAD MEDICARE
MI
Enumeration date
06/18/2006
Last updated
12/19/2007
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