Individual
DR. BRIAN ERIC HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
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 RD, CLAWSON, MI 48017-1901
(248) 288-8900
(248) 288-8989
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901BH001699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F383890
BCBS DME CLAWSON
MI
01
—
0H20650
BCBS DME ALLEN PART
MI
01
—
1283450001
CLAWSON DME NUMBER
MI
01
—
4319060001
ALLEN PARK DME
MI
01
—
480018640
MEDICARE RAILROAD CLAWSON
MI
01
—
480F318080
BLUE CROSS -CLAWSON
MI
01
—
48OH2128370
ALLEN PARK BLUE CROSS
MI
01
—
P00102057
MEDICARE RAILROAD ALLEN PARK
MI
Enumeration date
12/22/2005
Last updated
02/01/2010
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