Individual
DR. MICHAEL WALTER FILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
24601 HIGHLAND CT, APT 103, FARMINGTON HILLS, MI 48335-2163
(248) 474-6988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101016586
MI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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