MEDICARE: BRIAN L KERMAN D P M 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	BK000547	MI

General Provider Information

NPI Number	:	1548428295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN L KERMAN D P M P C

Provider Business Mailing Address
First Line	:	27031 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-3401
Country	:	US
Telephone Number	:	248-545-4888
Fax Number	:	248-545-4327

Provider Business Practice Location Address
First Line	:	27031 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-3401
Country	:	US
Telephone Number	:	248-545-4888
Fax Number	:	248-545-4327

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	BRIAN L KERMAN
Credential	:	DPM
Telephone Number	:	248-545-4888

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	07/15/2008

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