Provider Demographics
NPI:1972855021
Name:MICHIGAN HEALTHCARE PROFESSIONALS PC
Entity Type:Organization
Organization Name:MICHIGAN HEALTHCARE PROFESSIONALS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-851-1430
Mailing Address - Street 1:3577 W 13 MILE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6710
Mailing Address - Country:US
Mailing Address - Phone:248-288-4510
Mailing Address - Fax:248-288-0450
Practice Address - Street 1:4550 INVESTMENT DR
Practice Address - Street 2:SUITE 220
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-6363
Practice Address - Country:US
Practice Address - Phone:248-267-6569
Practice Address - Fax:248-267-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory