Organization
MICHIGAN HEALTHCARE PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H. MARGOLIS M.D. (PRESIDENT)
(248) 851-1430
Entity
Organization
Contact information
Practice address
3577 W 13 MILE RD, SUITE 103, ROYAL OAK, MI 48073-6710
(248) 288-4510
(248) 288-0450
Mailing address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690H702970
BLUE SHIELD
MI
Enumeration date
08/11/2011
Last updated
06/27/2013
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