Individual
STEPHEN D MIGDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R ST, SUITE 917, DETROIT, MI 48201-2017
(313) 745-4525
(313) 745-0011
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-4525
(313) 745-0011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301029339
MI
207RN0300X
Nephrology Physician
Primary
4301029339
MI
Other
Enumeration date
06/06/2006
Last updated
10/27/2016
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