Individual
NED BRODER HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30750 TANGLEWOOD DR, NOVI, MI 48377-1589
(248) 568-2470
Mailing address
30750 TANGLEWOOD DR, NOVI, MI 48377-1589
(248) 568-2470
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3394419
—
MI
01
—
480023913
RAILROAD MEDICARE
MI
01
—
480F372880
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/22/2006
Last updated
05/09/2013
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