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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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