Individual
DR. BARRY W FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32255 NORTHWESTERN HWY STE 130A, FARMINGTON HILLS, MI 48334-1566
(248) 723-5880
(248) 723-5889
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(947) 221-9120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301044524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630546
BCBS INDIVIDUAL
MI
01
—
110226675
RR MEDICARE
MI
01
—
110F301040
BLUE SHIELD
MI
05
—
1972588259
—
MI
Enumeration date
12/09/2005
Last updated
03/06/2024
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