Individual
DR. JOSEPH MICHAEL FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29829 TELEGRAPH RD, SUITE 201, SOUTHFIELD, MI 48034-1330
(248) 352-4263
(248) 352-2915
Mailing address
PO BOX 523, JENISON, MI 49429-0523
(616) 457-4919
(616) 457-5261
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301056308
MI
2086S0105X
Surgery of the Hand (Surgery) Physician
4301056308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4579089
—
MI
01
—
540F324290
BCBS DME PIN
MI
Enumeration date
11/04/2005
Last updated
02/15/2011
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