Provider Demographics
NPI:1013091990
Name:ASSOCIATED ENDOCRINOLOGISTS, P.C.
Entity Type:Organization
Organization Name:ASSOCIATED ENDOCRINOLOGISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FILLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-855-5620
Mailing Address - Street 1:32255 NORTHWESTERN HWY STE 214
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1573
Mailing Address - Country:US
Mailing Address - Phone:248-855-5620
Mailing Address - Fax:248-855-5628
Practice Address - Street 1:32255 NORTHWESTERN HWY STE 214
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1573
Practice Address - Country:US
Practice Address - Phone:248-855-5620
Practice Address - Fax:248-855-5628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110F376780OtherBCBS
MI110F376780OtherBCBS