MEDICARE: COMMERCE FOOT & ANKLE SPECIALISTS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480F376000	OTHER	MI	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1407854508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMERCE FOOT & ANKLE SPECIALISTS, P.C.

Provider Business Mailing Address
First Line	:	3050 UNION LAKE RD
Second Line	:	SUITE 8-B
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-4509
Country	:	US
Telephone Number	:	248-366-9606
Fax Number	:	248-366-9905

Provider Business Practice Location Address
First Line	:	3050 UNION LAKE RD
Second Line	:	SUITE 8-B
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-4509
Country	:	US
Telephone Number	:	248-366-9606
Fax Number	:	248-366-9905

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT/PODIATRIST
Name	:	DR. HARVEY MARK LEFKOWITZ
Credential	:	D.P.M.
Telephone Number	:	248-548-7363

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/21/2022

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