Provider Demographics
NPI:1346385937
Name:ESPY, MURIEL J (MD)
Entity Type:Individual
Prefix:
First Name:MURIEL
Middle Name:J
Last Name:ESPY
Suffix:
Gender:F
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:HENRY FORD HEALTH SYSTEM
Mailing Address - Street 2:14300 BECK ROAD
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170
Mailing Address - Country:US
Mailing Address - Phone:734-453-5600
Mailing Address - Fax:
Practice Address - Street 1:HENRY FORD HEALTH SYSTEM
Practice Address - Street 2:14300 BECK ROAD
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170
Practice Address - Country:US
Practice Address - Phone:734-453-5600
Practice Address - Fax:734-354-5960
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301038589207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
700H262210OtherBLUE CROSS-BLUE CROSS
MI469874010Medicaid
ME038589OtherCHAMPUS-CHAMPUS
ME038589OtherCOMMERCIAL-COMMERCIAL NUMBER
B49144Medicare UPIN
ME038589OtherCHAMPUS-CHAMPUS