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NPI Code Detail

MEDICARE: DR. HARVEY MARK LEFKOWITZ D.P.M.

MEDICARE:  DR. HARVEY MARK LEFKOWITZ  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
1213ES0103XFoot & Ankle Surgery Podiatrist5901001039MI
2213E00000XPodiatrist5901001039MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2382469733OTHERMITAX ID FOR PRIMARY LOCATI
3485635062OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1861499519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARVEY MARK LEFKOWITZ D.P.M.
Provider Business Mailing Address
First Line : 641 W 9 MILE RD
Second Line : STE A
City : FERNDALE
State : MI
Zip : 48220-1779
Country : US
Telephone Number : 248-548-7363
Fax Number : 248-548-5304
Provider Business Practice Location Address
First Line : 641 W 9 MILE RD
Second Line : STE A
City : FERNDALE
State : MI
Zip : 48220-1779
Country : US
Telephone Number : 248-548-7363
Fax Number : 248-548-5304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/23/2021

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Directions to “ DR. HARVEY MARK LEFKOWITZ D.P.M.” Practice Location

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