Provider Demographics
NPI:1235297862
Name:SAPERSTEIN, GUY STEVEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:STEVEN
Last Name:SAPERSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26095 W 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-2216
Mailing Address - Country:US
Mailing Address - Phone:313-537-4030
Mailing Address - Fax:313-537-3110
Practice Address - Street 1:26095 W 6 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-2216
Practice Address - Country:US
Practice Address - Phone:313-537-4030
Practice Address - Fax:313-537-3110
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI001536213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2781178Medicaid
MI381940176OtherTAX ID
MI5181370001OtherDMERC
5821821OtherBCBSM
480045045OtherRAILROAD MEDICARE
5821807OtherBCBSM
5825405OtherBCBS
5821821OtherBCBSM
480045045OtherRAILROAD MEDICARE
MI5181370001Medicare NSC