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Individual

DR. EDWARD ROTHWELL FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3577 W 13 MILE RD, SUITE 204, ROYAL OAK, MI 48073-6710
(248) 551-2446
(248) 551-1094
Mailing address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5192

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
EF047940
MI
207RX0202X
Medical Oncology Physician
Primary
4301047940
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0181374
TOTAL HEALTH CARE
MI
01
033257
MIDWEST HEALTH PLAN
MI
01
191207
GREAT LAKES
MI
05
1992773741
MI
01
5452658
AETNA
MI
01
700H273300
BLUE SHIELD
MI
01
7302
HEALTH PLAN OF MICHIGAN
MI
01
743205
ARIZONA FOUNDATION
AZ
01
962488
USA MCO
MI
01
B46265
HEALTH ALLIANCE PLAN
MI
01
P00910883
RAILROAD MEDICARE
MI
01
QMP000003846779
MOLINA HEALTHCARE
MI
Enumeration date
03/09/2006
Last updated
03/25/2015
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