Provider Demographics
NPI:1811023831
Name:SINGER, MILES L (DO)
Entity Type:Individual
Prefix:
First Name:MILES
Middle Name:L
Last Name:SINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HAGGERTY RD
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2184
Mailing Address - Country:US
Mailing Address - Phone:248-926-1960
Mailing Address - Fax:248-926-1970
Practice Address - Street 1:2300 HAGGERTY RD
Practice Address - Street 2:SUITE 2100
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2184
Practice Address - Country:US
Practice Address - Phone:248-926-1960
Practice Address - Fax:248-926-1970
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010960207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5606110003OtherADMINISTAR FED DME HARTLAND
MIM72050010OtherMEDICARE ID
MI5606110001OtherADMINISTAR FED DME RSC
MI2056316764OtherBCBS PIN
MI2056316764OtherBCBS PIN