Individual
MICHAEL FELDMAN
Active
Individual
MICHAEL FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD207481
LA
207X00000X
Orthopaedic Surgery Physician
8363
RI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04721012
—
MS
01
—
1780672709
ORGANIZATION NPI#
—
05
—
2380842
—
LA
Enumeration date
06/06/2006
Last updated
01/11/2019
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