Provider Demographics
NPI:1326130592
Name:LIPKIN, HOWARD DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DAVID
Last Name:LIPKIN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6888 GRAND RIVER RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9345
Mailing Address - Country:US
Mailing Address - Phone:810-220-4422
Mailing Address - Fax:810-225-4696
Practice Address - Street 1:2300 GENOA BUSINESS PARK DR
Practice Address - Street 2:SUITE 220
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7367
Practice Address - Country:US
Practice Address - Phone:810-220-4422
Practice Address - Fax:810-225-4696
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101011598207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIG14025Medicare UPIN
MION97430Medicare ID - Type Unspecified