Organization
MICHAEL H. EIDELMAN M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HUGH EIDELMAN M.D. (OWNER)
(248) 626-6500
Entity
Organization
Contact information
Practice address
30335 W 13 MILE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2262
(248) 626-6500
(248) 855-0190
Mailing address
30335 W 13 MILE RD, SUITE 100, FARMINGTON HILLS, MI 48334-2262
(248) 626-6500
(248) 855-0190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301031934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086690
—
MI
Enumeration date
02/02/2010
Last updated
02/03/2010
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