Provider Demographics
NPI:1437294980
Name:MICHIGAN HAND & WRIST, P.C.
Entity Type:Organization
Organization Name:MICHIGAN HAND & WRIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN-PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIBOUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-596-0412
Mailing Address - Street 1:26750 PROVIDENCE PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-1212
Mailing Address - Country:US
Mailing Address - Phone:248-596-0412
Mailing Address - Fax:
Practice Address - Street 1:26750 PROVIDENCE PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1212
Practice Address - Country:US
Practice Address - Phone:248-596-0412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5812140001Medicare PIN
MI5812140001Medicare NSC