MEDICARE: BRIAN L KERMAN DPM

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730295130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN L KERMAN DPM

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	05/12/2008

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Directions to “ BRIAN L KERMAN DPM” Practice Location

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