Organization
MID-OAKLAND FOOT CARE, P,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAY N ROSENFELD D.P.M. (MANAGING PARTNER)
(248) 625-3100
Entity
Organization
Contact information
Practice address
5905 S MAIN ST, SUITE B, CLARKSTON, MI 48346-2990
(248) 625-3100
(248) 625-1855
Mailing address
5905 S MAIN ST, SUITE B, CLARKSTON, MI 48346-2990
(248) 625-3100
(248) 625-1855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
590100001084
MI
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13 4228477
—
MI
01
—
485635084
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/23/2008
Last updated
05/09/2017
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