Provider Demographics
NPI:1043627524
Name:MICHIGAN RESPIRATORY AND SLEEP PHYSICIANS PLLC
Entity Type:Organization
Organization Name:MICHIGAN RESPIRATORY AND SLEEP PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-465-9253
Mailing Address - Street 1:44000 W 12 MILE RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2644
Mailing Address - Country:US
Mailing Address - Phone:248-465-9253
Mailing Address - Fax:248-465-9285
Practice Address - Street 1:44000 W 12 MILE RD
Practice Address - Street 2:SUITE 113
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2644
Practice Address - Country:US
Practice Address - Phone:248-465-9253
Practice Address - Fax:248-465-9285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty