Individual
DR. ALVIN BARRY MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30100 TELEGRAPH RD, STE 330, BINGHAM FARMS, MI 48025-4517
(248) 645-5510
(248) 645-0899
Mailing address
30100 TELEGRAPH RD, STE 330, BINGHAM FARMS, MI 48025-4517
(248) 645-5510
(248) 645-0899
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301024371
MI
2084P0800X
Psychiatry Physician
C00024633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038765
VALUEOPTIONS
MI
01
—
0635990
BCBS MICHIGAN
—
05
—
1081012
—
MI
Enumeration date
08/04/2006
Last updated
07/09/2007
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