Provider Demographics
NPI:1912905399
Name:HIGHLAND-MILFORD FOOT SPECIALISTS, PC
Entity Type:Organization
Organization Name:HIGHLAND-MILFORD FOOT SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/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 1:1550 N MILFORD RD
Mailing Address - Street 2:STE203A
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-1022
Mailing Address - Country:US
Mailing Address - Phone:248-685-1300
Mailing Address - Fax:248-685-7181
Practice Address - Street 1:1550 N MILFORD RD
Practice Address - Street 2:STE203A
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1022
Practice Address - Country:US
Practice Address - Phone:248-685-1300
Practice Address - Fax:248-685-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
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
480F361960OtherBCBS
MIOF361960Medicare PIN
MI0423920001Medicare NSC