Individual
JEFFERY LEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3406 CIRCLE DR, COMMERCE TWP, MI 48382-1958
(248) 342-0653
Mailing address
3406 CIRCLE DR, COMMERCE TWP, MI 48382-1958
(248) 342-0653
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131816072
—
MI
01
—
5631370
BCBSM
MI
Enumeration date
11/28/2006
Last updated
04/09/2012
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