Provider Demographics
NPI:1083815658
Name:STEPHEN M ARONSON M.D. P C
Entity Type:Organization
Organization Name:STEPHEN M ARONSON M.D. P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-932-2607
Mailing Address - Street 1:2020 HOGBACK OFFICE CENTER
Mailing Address - Street 2:SUITE 18
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:248-932-2607
Mailing Address - Fax:
Practice Address - Street 1:2020 HOGBACK ROAD
Practice Address - Street 2:SUITE 18
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:248-932-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0526092084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MISA052609OtherSTATE LICENSE
MISA052609OtherSTATE LICENSE
MIE64381Medicare UPIN