Provider Demographics
NPI:1578593513
Name:BATKE, MIHAELA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MIHAELA
Middle Name:
Last Name:BATKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIHAELA
Other - Middle Name:
Other - Last Name:DOSCAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 13906
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4030
Mailing Address - Country:US
Mailing Address - Phone:248-625-4055
Mailing Address - Fax:248-625-4085
Practice Address - Street 1:5701 BOW POINTE DRIVE
Practice Address - Street 2:SUITE 370
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346
Practice Address - Country:US
Practice Address - Phone:248-625-4055
Practice Address - Fax:248-625-4085
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081146207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4869632Medicaid