Provider Demographics
NPI:1902866395
Name:MASINI, MICHAEL ALIPIO (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALIPIO
Last Name:MASINI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 0446 24 FRANK LLOYD WRIGHT DR. LOBBY J
Mailing Address - Street 2:IHA
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:5315 ELLIOTT DR
Practice Address - Street 2:SUITE #304
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8634
Practice Address - Country:US
Practice Address - Phone:734-712-2230
Practice Address - Fax:734-712-2234
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2016-05-11
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Provider Licenses
StateLicense IDTaxonomies
MI4301063094207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3042069Medicaid
F02256Medicare UPIN
OM80710Medicare ID - Type Unspecified