Individual
JUSTIN FELDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
86408
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCK7355019
MEDICARE PIN
SC
Enumeration date
04/18/2016
Last updated
08/12/2021
Update your record
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