Loder, Brian George

Loder, Brian George is an individual health care provider with primary practice located at 43391 Commons Dr , Clinton Township MI 48038-1109. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Loder, Brian George can be contacted via phone (586) 329-3895.

Contact Information

Primary practice address
43391 Commons Dr Clinton Township MI 48038-1109
Phone: (586) 329-3895
Fax: (586) 329-3916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X BL001662 Michigan

Profile Details

NPI number 1184629180
LBN Legal business name Loder, Brian George
Credentials DPM, CWS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184629180 NPPES
Michigan Other 10040760007 WELLNESS
Michigan Other 4855057230 WELLNESS
Michigan MEDICAID 4616745 WELLNESS
Michigan Other C3980 WELLNESS
Michigan Other P00777182 WELLNESS
Michigan Other 101706 WELLNESS
Michigan Other 107320 WELLNESS
Michigan Other U53759 WELLNESS
Michigan Other 234010003 WELLNESS
Michigan Other 4616745 WELLNESS
Michigan Other 4638660 WELLNESS
Michigan Other 4855057230 WELLNESS

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