MEDICARE: HIGHLAND-MILFORD FOOT SPECIALISTS, PC

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		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480F361960	OTHER		BCBS

General Provider Information

NPI Number	:	1912905399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND-MILFORD FOOT SPECIALISTS, PC

Provider Business Mailing Address
First Line	:	1550 N MILFORD RD
Second Line	:	STE203A
City	:	MILFORD
State	:	MI
Zip	:	48381-1022
Country	:	US
Telephone Number	:	248-685-1300
Fax Number	:	248-685-7181

Provider Business Practice Location Address
First Line	:	1550 N MILFORD RD
Second Line	:	STE203A
City	:	MILFORD
State	:	MI
Zip	:	48381-1022
Country	:	US
Telephone Number	:	248-685-1300
Fax Number	:	248-685-7181

Authorized Official
Title or Position	:	OWNER/PRESIDENT/PODIATRIST
Name	:	DR. HARVEY MARK LEFKOWITZ
Credential	:	DPM
Telephone Number	:	248-548-7363

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/21/2022

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