Individual
DR. BRIAN GEORGE LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, CWS
Contact information
Practice address
43391 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1109
(586) 329-3895
(586) 329-3916
Mailing address
15760 19 MILE RD STE E, CLINTON TOWNSHIP, MI 48038-6319
(586) 329-3895
(586) 329-3916
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
BL001662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10040760007
WELLNESS
MI
01
—
101706
GREAT LAKES HEALTH PLAN
MI
01
—
107320
PREFERRED/CARE CHOICES
MI
01
—
234010003
CIGNA
MI
01
—
4616745
MOLINA
MI
05
—
4616745
—
MI
01
—
4638660
AETNA
MI
01
—
4855057230
BLUE CARE NETWORK
MI
01
—
C3980
MCARE
MI
01
—
P00777182
RAILROAD MEDICARE
MI
01
—
U53759
HEALTH ALLIANCE PLAN
MI
Enumeration date
06/16/2005
Last updated
11/17/2022
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