Individual
JEFFEREY E MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 401, SOUTHFIELD, MI 48075-4825
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1261
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301066261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4337650
—
MI
Enumeration date
01/26/2006
Last updated
01/17/2014
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