Provider Demographics
NPI:1245340983
Name:FAKIH, MICHAEL H (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:H
Last Name:FAKIH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5400 MACKINAW RD
Mailing Address - Street 2:SUITE 4100
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-9515
Mailing Address - Country:US
Mailing Address - Phone:989-792-8771
Mailing Address - Fax:989-792-2798
Practice Address - Street 1:5400 MACKINAW RD
Practice Address - Street 2:SUITE 4100
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9515
Practice Address - Country:US
Practice Address - Phone:989-792-8771
Practice Address - Fax:989-792-2798
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIMF050148207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1607301802OtherBCBS
MIB46726Medicare UPIN