Individual
DEREK EINHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39475 LEWIS DRIVE, SUITE 130, NOVI, MI 48377-2977
(248) 374-0502
(248) 374-0567
Mailing address
39475 LEWIS DRIVE, SUITE 130, NOVI, MI 48377-2977
(248) 374-0502
(248) 374-0567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301071970
MI
208000000X
Pediatrics Physician
4301071970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106346950
BCBSM
MI
05
—
4640867
—
MI
Enumeration date
03/20/2006
Last updated
09/22/2025
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