Provider Demographics
NPI:1013967819
Name:ARMSTEAD, JOHN W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:ARMSTEAD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4020 VENOY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-1869
Mailing Address - Country:US
Mailing Address - Phone:734-326-5000
Mailing Address - Fax:734-326-0102
Practice Address - Street 1:4020 VENOY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1869
Practice Address - Country:US
Practice Address - Phone:734-326-5000
Practice Address - Fax:734-326-0102
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2010-04-23
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Provider Licenses
StateLicense IDTaxonomies
MIJA050190207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2654999Medicaid
MI2654999Medicaid