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Individual

DR. JEFFREY SCOTT FALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19229 MACK AVE, SUITE 34, GROSSE POINTE WOODS, MI 48236-2858
(313) 647-3900
(313) 647-3902
Mailing address
19229 MACK AVE, 38, GROSSE POINTE WOODS, MI 48236-2858
(313) 647-3912
(313) 647-3902

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301061424
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H231320
BLUE CROSS GROUP
MI
Enumeration date
02/08/2006
Last updated
01/21/2015
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