Provider Demographics
NPI:1588603799
Name:HEPKE, MARGARET JANE (DO)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:JANE
Last Name:HEPKE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI008370208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2678883Medicaid
MI56305865Medicare ID - Type Unspecified
MI2678883Medicaid