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JEFFREY FREDERICK DPM PC NPI 1316020357


NPI Information

NPI: 1316020357
Provider Name: JEFFREY FREDERICK DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
30005 FOREST DR
FRANKLIN, MI
ZIP 48025
Phone: (248) 514-2604
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JEFFREY FREDERICK DPM PC is a foot and ankle surgery podiatrist in Franklin, MI. JEFFREY FREDERICK DPM PC NPI is 1316020357. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30005 FOREST DR
FRANKLIN, MI
ZIP 48025-580
Phone: (248) 514-2604

The provider's authorized official is Jeffrey Frederick .
The authorized official title is Doctor and has the following contact phone number (248) 545-0100.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryJF001355MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14856354460OTHERMICHIGANBLUE CROSS
2DG9358OTHERMICHIGANMEDICARE RAILROAD GROUP
31746737MEDICAIDMICHIGAN
4480005115OTHERMICHIGANMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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