Provider Demographics
NPI:1235544875
Name:DOYLE, MICHAEL BRIAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRIAN
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:22101 MOROSS RD
Mailing Address - Street 2:SUITE 335
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2148
Mailing Address - Country:US
Mailing Address - Phone:313-343-6393
Mailing Address - Fax:313-343-6394
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:SUITE 335
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-6393
Practice Address - Fax:313-343-6394
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002533213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery