Provider Demographics
NPI:1609906767
Name:CAYLE CLINIC, P.C.
Entity Type:Organization
Organization Name:CAYLE CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-991-0805
Mailing Address - Street 1:43401 SCHOENHERR RD.
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313
Mailing Address - Country:US
Mailing Address - Phone:586-991-0805
Mailing Address - Fax:586-991-0806
Practice Address - Street 1:43401 SCHOENHERR RD.
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313
Practice Address - Country:US
Practice Address - Phone:586-991-0805
Practice Address - Fax:586-991-0806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAYLE CLINIC, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-07
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJC086994207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0501878OtherBCBS
MI0501878OtherBCBS