Organization
CRANBROOK FOOT SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M BIFULCO DPM (OWNER)
(586) 978-3336
Entity
Organization
Contact information
Practice address
2009 E 14 MILE RD, STERLING HEIGHTS, MI 48310-5905
(586) 978-3336
Mailing address
2009 E 14 MILE RD, STERLING HEIGHTS, MI 48310-5905
(586) 978-3336
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01608
BCBSM
—
01
—
8505002
BCBSM
—
Enumeration date
04/07/2008
Last updated
04/17/2008
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