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Contact Information

BRIAN G. LODER DPM PLC
43391 COMMONS DR
CILNTON TOWNSHIP, MI48038-1109
 Phone: 586-329-3895
 Fax: 586-329-3916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BRIAN G. LODER DPM PLC

NPI # 1508004920
LBN Legal business name BRIAN G. LODER DPM PLC
Authorized official BRIAN LODER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2009
Last updated 11/02/2022 - About 4 years ago
Identifiers
MI License # 5901001662
MI Medicaid 1508004920
MI Other 480E027990 BCBS GROUP
MI Other 480E027990 BCN GROUP
MI Other U53759 HAP
MI Other DP6530 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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