Individual
DR. JOSEPH THOMAS PAUPORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19171 MERRIMAN RD, LIVONIA, MI 48152-1754
(248) 478-9898
(248) 473-9870
Mailing address
19171 MERRIMAN RD, LIVONIA, MI 48152-1754
(248) 478-9898
(248) 473-9870
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
5101012057
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
5101012057
MI
207QA0505X
Adult Medicine Physician
5101012057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10920041
CIGNA PROVIDER ID
MI
01
—
16325
MCARE ID
MI
05
—
4506903
—
MI
01
—
5446534
AETNA ID
MI
01
—
5821017
BCBS PIN
MI
Enumeration date
09/20/2005
Last updated
09/11/2025
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