Provider Demographics
NPI:1871630632
Name:DUPUY, MILTON E (MD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:E
Last Name:DUPUY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9504 JOY RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-5027
Mailing Address - Country:US
Mailing Address - Phone:734-455-0191
Mailing Address - Fax:
Practice Address - Street 1:36616 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1127
Practice Address - Country:US
Practice Address - Phone:734-464-9955
Practice Address - Fax:734-464-9950
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010544462083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F26380Medicare UPIN