Provider Demographics
NPI:1801883145
Name:FRIEDMAN, STEVEN JAY (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAY
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8906 COMMERCE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-4484
Mailing Address - Country:US
Mailing Address - Phone:248-360-1770
Mailing Address - Fax:248-360-1950
Practice Address - Street 1:8906 COMMERCE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-4484
Practice Address - Country:US
Practice Address - Phone:248-360-1770
Practice Address - Fax:248-360-1950
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2007-08-18
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Provider Licenses
StateLicense IDTaxonomies
MI5101010251207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF59748Medicare UPIN