Individual
STEVEN RONALD MIGDALEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30750 TANGLEWOOD DR, NOVI, MI 48377-1589
(248) 624-5835
(248) 624-7961
Mailing address
30750 TANGLEWOOD DR, NOVI, MI 48377-1589
(248) 624-5835
(248) 624-7961
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2976670
—
MI
05
—
4375070
—
MI
01
—
4856354340
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/08/2005
Last updated
12/30/2014
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