Individual
DAVID RANDOLPH LEVITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1671 W MICHIGAN AVE, STE C-1, CLINTON, MI 49236-8702
(517) 456-4114
(517) 456-4114
Mailing address
PO BOX 0, CLINTON, MI 49236-9502
(517) 456-4114
(517) 456-4114
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0504
NV
213E00000X
Podiatrist
Primary
5901000792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5067480002
DMERC
MI
Enumeration date
09/13/2006
Last updated
08/25/2010
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