Provider Demographics
NPI:1407854508
Name:COMMERCE FOOT & ANKLE SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:COMMERCE FOOT & ANKLE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:LEFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-548-7363
Mailing Address - Street 1:3050 UNION LAKE RD
Mailing Address - Street 2:SUITE 8-B
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-4509
Mailing Address - Country:US
Mailing Address - Phone:248-366-9606
Mailing Address - Fax:248-366-9905
Practice Address - Street 1:3050 UNION LAKE RD
Practice Address - Street 2:SUITE 8-B
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-4509
Practice Address - Country:US
Practice Address - Phone:248-366-9606
Practice Address - Fax:248-366-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI480F376000OtherBLUE CROSS/BLUE SHIELD
MI480F376000OtherBLUE CROSS/BLUE SHIELD
MIOM98090Medicare PIN