Organization
RANDY S FELDMAN, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI MARI' MURRAY M.A. (ASSISTANT)
(248) 585-1177
Entity
Organization
Contact information
Practice address
31017 JOHN R RD, MADISON HEIGHTS, MI 48071-1907
(248) 585-1177
(248) 585-0083
Mailing address
31017 JOHN R RD, MADISON HEIGHTS, MI 48071-1907
(248) 585-1177
(248) 585-0083
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5901001043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F337060
BCBSM DMERC
MI
Enumeration date
10/22/2008
Last updated
10/28/2009
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