Provider Demographics
NPI:1801981238
Name:MCILROY, MICHAEL ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:MCILROY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:730 HARCOURT RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1832
Mailing Address - Country:US
Mailing Address - Phone:313-802-0141
Mailing Address - Fax:313-885-2110
Practice Address - Street 1:22151 MOROSS RD
Practice Address - Street 2:SUITE G-33
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2167
Practice Address - Country:US
Practice Address - Phone:313-343-4050
Practice Address - Fax:313-885-2110
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2012-06-22
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Provider Licenses
StateLicense IDTaxonomies
MI4301044852207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease