Organization
DR. KATHLEEN DUZAK DPM PC
Active
Other names
duzak family foot clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN DUZAK DPM (PRESIDENT)
(734) 421-7400
Entity
Organization
Contact information
Practice address
1770 WOODGROVE LN, BLOOMFIELD HILLS, MI 48302-2673
(734) 421-7400
Mailing address
1770 WOODGROVE LN, BLOOMFIELD HILLS, MI 48302-2673
(734) 421-7400
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122782
—
MI
01
—
4858250820
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/23/2009
Last updated
03/09/2020
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