Provider Demographics
NPI:1043353444
Name:LAKER, MICHAEL W (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:W
Last Name:LAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1135 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1871
Mailing Address - Country:US
Mailing Address - Phone:248-650-2400
Mailing Address - Fax:248-609-9097
Practice Address - Street 1:1135 W UNIVERSITY DR
Practice Address - Street 2:SUITE 450
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-650-2400
Practice Address - Fax:248-609-9097
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2014-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA230905207X00000X
MI4301080456207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery