Organization
ANTHONY B. MICHAELS, D.O., P.C.
Active
Organization
ANTHONY B. MICHAELS, D.O., P.C.
Active
Other names
Anthony B. Michaels, D.O., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY B MICHAELS D.O. (OWNER)
(248) 540-0555
Entity
Organization
Contact information
Practice address
189 TOWNSEND ST, SUITE 302, BIRMINGHAM, MI 48009-6008
(248) 540-0555
(248) 540-2180
Mailing address
189 TOWNSEND ST, SUITE 302, BIRMINGHAM, MI 48009-6008
(248) 540-0555
(248) 540-2180
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
5101806943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105360
—
MI
01
—
2756300161
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/10/2007
Last updated
08/13/2013
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