Provider Demographics
NPI:1871657643
Name:BIRKEL, PHYLLIS PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:PATRICIA
Last Name:BIRKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W UNIVERSITY DR
Mailing Address - Street 2:314
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1873
Mailing Address - Country:US
Mailing Address - Phone:248-650-7700
Mailing Address - Fax:248-650-3442
Practice Address - Street 1:1000 W UNIVERSITY DR
Practice Address - Street 2:314
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1873
Practice Address - Country:US
Practice Address - Phone:248-650-7700
Practice Address - Fax:248-650-3442
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301043590207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0632731Medicare ID - Type Unspecified
B45833Medicare UPIN