Provider Demographics
NPI:1669425781
Name:MARKOWITZ, NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5477 ARDON CT
Mailing Address - Street 2:
Mailing Address - City:W BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2072
Mailing Address - Country:US
Mailing Address - Phone:248-738-0929
Mailing Address - Fax:
Practice Address - Street 1:9640 COMMERCE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:COMMERCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48382-4166
Practice Address - Country:US
Practice Address - Phone:248-363-1500
Practice Address - Fax:248-363-1638
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0632961Medicare ID - Type Unspecified
MIE49644Medicare UPIN