Provider Demographics
NPI:1639153497
Name:LAFFER, MICHAEL R (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:LAFFER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:27483 DEQUINDRE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3491
Mailing Address - Country:US
Mailing Address - Phone:248-398-4081
Mailing Address - Fax:248-398-4527
Practice Address - Street 1:27483 DEQUINDRE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3491
Practice Address - Country:US
Practice Address - Phone:248-398-4081
Practice Address - Fax:248-398-4527
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2011-02-16
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Provider Licenses
StateLicense IDTaxonomies
MI5101006980207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700H217350OtherBLUE SHIELD
MIE26387OtherHAP
MI290008653OtherRR MEDICARE
MI120786OtherCARE-PREFERRED CHOICES
MI1639153497Medicaid
MIE26387OtherHAP
MI120786OtherCARE-PREFERRED CHOICES