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General NPI Number Information
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NPI Number | 1972635829
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Entity Type | Organization
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Legal Business Name | STEVEN R MIGDALEWICZ DPM PC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 30750 TANGLEWOOD DR
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City | NOVI
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State | MI
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Zip | 48377-1589
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Country | US
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Telephone | 248-624-5835
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Fax | 248-624-7961
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Provider Business Mailing Address
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Address Line | 30750 TANGLEWOOD DR
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City | NOVI
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State | MI
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Zip | 48377-1589
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Country | US
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Telephone | 248-624-5835
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Fax | 248-624-7961
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN R MIGDALEWICZ
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Credential | DPM
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Telephone | 248-624-5835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901001589
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License Number State | MI
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