Individual
DR. MARC FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26677 W 12 MILE RD # B6, SOUTHFIELD, MI 48034-1514
(248) 354-4709
(248) 354-4807
Mailing address
PO BOX 674147, DETROIT, MI 48267-4147
(248) 354-4709
(248) 354-4807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301048603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F336360
BCBSM
MI
01
—
1346398971
GROUP NPI
MI
01
—
207R00000X
TAXONOMY
MI
05
—
4148803
—
MI
01
—
A79017
HAP UPIN
MI
01
—
MF048603
LICENSE
MI
Enumeration date
06/13/2006
Last updated
09/29/2022
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