Provider Demographics
NPI:1437390408
Name:MARGARET J HEPKE, D.O., P.C.
Entity Type:Organization
Organization Name:MARGARET J HEPKE, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HEPKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-544-1103
Mailing Address - Street 1:8750 W 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2322
Mailing Address - Country:US
Mailing Address - Phone:248-544-1103
Mailing Address - Fax:248-545-1228
Practice Address - Street 1:8750 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2322
Practice Address - Country:US
Practice Address - Phone:248-544-1103
Practice Address - Fax:248-545-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI008370208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2678883Medicaid
MIE37162Medicare UPIN
MI56305865Medicare Oscar/Certification