Individual
DR. HOWARD GOLDFADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4704 STONEVIEW, WEST BLOOMFIELD, MI 48322-3498
(248) 855-2568
Mailing address
4704 STONEVIEW, WEST BLOOMFIELD, MI 48322-3498
(248) 855-2568
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901001172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1617391
—
MI
01
—
4856351216
BC-BS MICHIGAN
MI
Enumeration date
10/12/2006
Last updated
11/27/2007
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