Provider Demographics
NPI:1679720361
Name:DUPREE, JAMES MICHAEL IV (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:DUPREE
Suffix:IV
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:3621 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1633
Mailing Address - Country:US
Mailing Address - Phone:734-647-5299
Mailing Address - Fax:
Practice Address - Street 1:19900 HAGGERTY ROAD
Practice Address - Street 2:SUITE 111
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1054
Practice Address - Country:US
Practice Address - Phone:734-432-7811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125052788208800000X
TXBP10046215208800000X
MI4301106326208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology