Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 UNION LAKE RD SUITE 8-B
COMMERCE TOWNSHIP MI
48382-4509
US

IV. Provider business mailing address

3050 UNION LAKE RD SUITE 8-B
COMMERCE TOWNSHIP MI
48382-4509
US

V. Phone/Fax

Practice location:
  • Phone: 248-366-9606
  • Fax: 248-366-9905
Mailing address:
  • Phone: 248-366-9606
  • Fax: 248-366-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateMI

VIII. Authorized Official

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