Organization
ADVANCED PODIATRY OF DEARBORN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROSENBERG DPM (PRESIDENT)
(248) 737-2343
Entity
Organization
Contact information
Practice address
7296 SIMSBURY DR, WEST BLOOMFIELD, MI 48322-3548
(248) 737-2343
(248) 737-3959
Mailing address
7296 SIMSBURY DR, WEST BLOOMFIELD, MI 48322-3548
(248) 737-2343
(248) 737-3959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1080580
—
MI
01
—
8825444
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
11/30/2006
Last updated
09/26/2008
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