DR. KATHLEEN DUZAK DPM PC (NPI# 1659512549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659512549 |
| Entity Type | Organization |
| Organization Name | DR. KATHLEEN DUZAK DPM PC |
| Other Organization Name | DUZAK FAMILY FOOT CLINIC |
| Practice Address |
1770 Woodgrove Ln Bloomfield Hills MI 48302-2673 |
| Practice Telephone | 7344217400 |
| Mailing Telephone | 7344217400 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | DR. KATHLEEN DUZAK (PRESIDENT) |
| Authorized Official Telephone | 7344217400 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 4858250820 | 01 |
| MI | 2122782 | 05 |
| Other Name | Type Code |
|---|---|
| duzak family foot clinic | Other Name - Individual/Organization |
| Street Address |
1770 WOODGROVE LN |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861512618 | Kathleen Helen Duzak | Podiatrist | 1770 Woodgrove Ln, Bloomfield Hills, MI 48302-2673 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849009 | Southern Michigan Foot & Ankle, Plc | Clinic/Center | 14167 C B Macdonald Way, Vicksburg, MI 49097-8397 | 2020-07-28 |
| 1982229159 | Jeri Berkowitz Pllc | Clinic/Center | 7001 Orchard Lake Rd Ste 230b, West Bloomfield, MI 48322-3659 | 2020-06-12 |
| 1871965954 | Pardee Foot Clinic | Clinic/Center | 9029 Pardee Rd, Taylor, MI 48180-2755 | 2015-10-28 |
| 1194964452 | Stacey Stefansky Dpm Pllc | Clinic/Center | 2130 Marshall Court, Waterford, MI 48329-4069 | 2009-02-10 |
| 1386814978 | Jess Kraft Dpm PC | Clinic/Center | 27920 Arlington Dr, Southfield, MI 48076-5605 | 2008-03-10 |
| 1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
| 1154391985 | Southgate Foot and Ankle Center Pllc | Clinic/Center | 14535 Northline Rd., Southgate, MI 48195-2446 | 2006-01-24 |
| 1992363097 | Matthew D Andrews Dpm PC | Clinic/Center | 1221 S Ortonville Rd Bldg B, Ortonville, MI 48462-8676 | 2019-06-03 |
| 1063077998 | Kevin Garfield Dpm PC | Clinic/Center | 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 | 2019-05-06 |
| 1467953422 | Right Step Podiatry Care Pllc | Clinic/Center | 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 | 2018-02-26 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.