Provider Demographics
NPI:1275530420
Name:ALPERIN, NEIL H (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:H
Last Name:ALPERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11900 E 12 MILE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-3400
Mailing Address - Country:US
Mailing Address - Phone:586-751-2072
Mailing Address - Fax:586-751-1302
Practice Address - Street 1:11900 E 12 MILE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3400
Practice Address - Country:US
Practice Address - Phone:586-751-2072
Practice Address - Fax:586-751-1302
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301050484207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MINA050484OtherBCBSM SECOND IDENTIFIER
MI2644301Medicaid
MI700H273300OtherBCBSM
MIMI4989175Medicare PIN
MINA050484OtherBCBSM SECOND IDENTIFIER