Individual
JEREMY FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40736 KINGSLEY LN, NOVI, MI 48377-1633
(586) 741-3772
(586) 741-4604
Mailing address
40736 KINGSLEY LN, NOVI, MI 48377-1633
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301094601
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301094601
MI
Other
Enumeration date
04/10/2009
Last updated
10/21/2015
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