Provider Demographics
NPI:1881659399
Name:CLIFFEL, MAUREEN T (DO)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:T
Last Name:CLIFFEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6888 GRAND RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9345
Mailing Address - Country:US
Mailing Address - Phone:248-652-6846
Mailing Address - Fax:
Practice Address - Street 1:26454 WOODWARD AVE
Practice Address - Street 2:STE 200
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0969
Practice Address - Country:US
Practice Address - Phone:248-965-2919
Practice Address - Fax:248-965-2905
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2018-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015453207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology