Individual
DR. JOHN MATTHEW FELDER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(248) 551-1550
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1848
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2015021525
MO
208200000X
Plastic Surgery Physician
Primary
4301509615
MI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
2015021525
MO
208600000X
Surgery Physician
2015021525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033214
—
MO
Enumeration date
05/12/2009
Last updated
06/28/2023
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