Organization
STEVEN R MIGDALEWICZ DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R MIGDALEWICZ DPM (OWNER)
(248) 624-5835
Entity
Organization
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
—
134375070
—
MI
01
—
480034036
RAILROAD PROVIDER ID
MI
01
—
480F365460
BCBSM
MI
01
—
4856354340
BCBS PROVIDER ID
MI
Enumeration date
03/09/2007
Last updated
12/30/2014
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