Individual
DR. SHAY N ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5905 S MAIN ST, SUITE B, CLARKSTON, MI 48346-2990
(248) 625-3100
(248) 625-1855
Mailing address
5905 S MAIN ST, SUITE B, CLARKSTON, MI 48346-2990
(248) 625-3100
(248) 625-1855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
10084
MI
213E00000X
Podiatrist
Primary
5901001084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134228477
—
MI
01
—
4856350840
BCBSM
MI
Enumeration date
07/03/2006
Last updated
05/05/2017
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