Individual
MICHAEL J FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5821 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2275
(248) 855-0407
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5315079859
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194091066
—
MI
01
—
MF105129
BCBS PROVIDER NUMBER
MI
01
—
MI4989587
MEDICARE PTAN
MI
Enumeration date
03/26/2012
Last updated
09/25/2018
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