Provider Demographics
NPI:1922076363
Name:MILES L SINGER DO PLLC
Entity Type:Organization
Organization Name:MILES L SINGER DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-539-1881
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:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010960207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4201900Medicaid
MI4201900Medicaid
MION11290Medicare ID - Type Unspecified
G22405Medicare UPIN