Organization
CLAWSON FOOTCARE SPECIALISTS PC
Active
Other names
Brian E. Homer
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E HOMER D.P.M, P.C. (OWNER)
(248) 288-8900
Entity
Organization
Contact information
Practice address
615 W 14 MILE RD, CLAWSON, MI 48017-1901
(248) 288-8900
(248) 288-8989
Mailing address
615 W. 14 MILE ROAD, CLAWSON, MI 48017-1901
(248) 288-8900
(248) 288-8989
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
5901001699
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901001699
MI
335E00000X
Prosthetic/Orthotic Supplier
5901001699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F31808
BCBSMI
MI
01
—
0F383890
BCBSMI DME
MI
01
—
1283450001
MEDICARE DME
MI
05
—
133153308
—
MI
01
—
480018640
RAILROAD MEDICARE
MI
Enumeration date
09/28/2006
Last updated
11/13/2012
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