Provider Demographics
NPI:1972504918
Name:SINGER, DEAN W (DPM)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:W
Last Name:SINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3122 PARK MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-2061
Mailing Address - Country:US
Mailing Address - Phone:810-730-0999
Mailing Address - Fax:810-730-0999
Practice Address - Street 1:1303 LINDEN RD
Practice Address - Street 2:SUITE D
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-230-0177
Practice Address - Fax:810-230-8090
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDS001654213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2980814Medicaid
MI480B56155OtherBCBS
MI381898080OtherFEDERAL ID
MI4856315690OtherBCBS
MI4856315690OtherBCBS