| Alan L Feldman DO PC | |
|
1965 Union Lake Rd Commerce Twp MI 48382-2248 | |
| (248) 363-4151 | |
| (248) 363-9510 |
| Full Name | Alan L Feldman DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1965 Union Lake Rd, Commerce Twp, Michigan |
| Authorized Official Name and Position | Alan L Feldman (PRESIDENT) |
| Authorized Official Contact | 2483634151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan L Feldman DO PC 1965 Union Lake Rd Commerce Twp MI 48382-2248 Ph: (248) 363-4151 | Alan L Feldman DO PC 1965 Union Lake Rd Commerce Twp MI 48382-2248 Ph: (248) 363-4151 |
| NPI Number | 1003085531 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 05/20/2008 |
| Medicare PECOS PAC ID | 5890871412 |
|---|---|
| Medicare Enrollment ID | O20080324000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003085531 | NPI | - | NPPES |
| 0856332544 | Other | MI | BLUE CROSS BLUE SHIELD |
| 111080543 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101006423 (Michigan) | Primary |
| Provider Name | Alan L Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760448179 PECOS PAC ID: 5991881518 Enrollment ID: I20080324000560 |
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