MEDICARE: DR. ROBERT HOWARD CORNFIELD D.P.M.

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	001495	MI
2	213EP0504X	Public Medicine Podiatrist	001495	MI
3	213ER0200X	Radiology Podiatrist	001495	MI
4	213ES0000X	Sports Medicine Podiatrist	001495	MI
5	213ES0103X	Foot & Ankle Surgery Podiatrist	001495	MI
6	213ES0131X	Foot Surgery Podiatrist	001495	MI

General Provider Information

NPI Number	:	1295737096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT HOWARD CORNFIELD D.P.M.

Provider Business Mailing Address
First Line	:	6700N ROCHESTER RD 112
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4378
Country	:	US
Telephone Number	:	248-364-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700N ROCHESTER RD 112
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4378
Country	:	US
Telephone Number	:	248-364-0500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	11/20/2015

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