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Individual

DR. RANDY S FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
31017 JOHN R RD, MADISON HEIGHTS, MI 48071-1907
(248) 585-1177
(248) 585-0083
Mailing address
31017 JOHN R RD, MADISON HEIGHTS, MI 48071-1907
(248) 585-1177
(248) 585-0083

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
RF001043
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901001043
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0170034002
CIGNA
01
100763
GREAT LAKES HEALTH PLAN
MI
01
383749866
PPOM COFINITY
MI
01
480003679
RAILROAD
MI
05
5223312
MI
01
5453041
AETNA
MI
01
MI120001
MEDICARE PTAN
MI
01
P41010001
MEDICARE PLUS BLUE
MI
01
RF001043
BLUE CROSS BLUE SHIELD
MI
01
T34138
HAP
MI
Enumeration date
11/14/2005
Last updated
02/20/2009
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