Provider Demographics
NPI:1669564720
Name:FLOHR, MICHAEL JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:FLOHR
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 1:440 GASKILL RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49058-9413
Mailing Address - Country:US
Mailing Address - Phone:269-945-4865
Mailing Address - Fax:
Practice Address - Street 1:915 W GREEN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HASTINGS
Practice Address - State:MI
Practice Address - Zip Code:49058-1723
Practice Address - Country:US
Practice Address - Phone:269-945-3866
Practice Address - Fax:269-945-9388
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMF047122207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMF047122OtherMICHIGAN LICENSE #
MI0080029OtherBCBS
MI102575680Medicaid
MI102575680Medicaid
MI0M43420Medicare PIN
MIMF047122OtherMICHIGAN LICENSE #
MI102575680Medicaid