Provider Demographics
NPI:1144370479
Name:OROWE, STANISLAUS JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:STANISLAUS
Middle Name:JOSEPH
Last Name:OROWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 W 9 MILE RD
Mailing Address - Street 2:SUITE 505
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4808
Mailing Address - Country:US
Mailing Address - Phone:248-423-7275
Mailing Address - Fax:248-423-7276
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:SUITE 505
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-423-7275
Practice Address - Fax:248-423-7276
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301056854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4850461Medicaid
MI1106360082OtherBLUE CROSS BLUE SHIELD
MI0N95510Medicare ID - Type UnspecifiedMEDICARE
MI4850461Medicaid