Provider Demographics
NPI:1700831062
Name:MICHAEL F. MILAN MD PC
Entity Type:Organization
Organization Name:MICHAEL F. MILAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MILAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-377-8141
Mailing Address - Street 1:3271 FIVE POINTS DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2379
Mailing Address - Country:US
Mailing Address - Phone:248-377-8141
Mailing Address - Fax:248-377-2575
Practice Address - Street 1:3271 FIVE POINTS DR
Practice Address - Street 2:SUITE 106
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2379
Practice Address - Country:US
Practice Address - Phone:248-377-8141
Practice Address - Fax:248-377-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052211174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2406318301OtherBLUE SHIELD PROVIDER
MI2406318301OtherBLUE SHIELD PROVIDER