Provider Demographics
NPI:1063077998
Name:KEVIN GARFIELD DPM PC
Entity type:Organization
Organization Name:KEVIN GARFIELD DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:248-885-3846
Mailing Address - Street 1:829 BATAVIA AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3339
Mailing Address - Country:US
Mailing Address - Phone:248-885-3846
Mailing Address - Fax:
Practice Address - Street 1:1775 E 14 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-7204
Practice Address - Country:US
Practice Address - Phone:248-642-3338
Practice Address - Fax:248-642-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric