Provider Demographics
NPI:1982679262
Name:DOYLE, JAMES MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:905 N MACOMB ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3084
Mailing Address - Country:US
Mailing Address - Phone:734-384-0876
Mailing Address - Fax:734-384-0898
Practice Address - Street 1:905 N MACOMB ST
Practice Address - Street 2:SUITE #2
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3084
Practice Address - Country:US
Practice Address - Phone:734-384-0876
Practice Address - Fax:734-384-0898
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2023-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIJD009514207Q00000X
MI5101009514207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M91890008OtherMEDICARE
MI0M91890008OtherMEDICARE