Provider Demographics
NPI:1952795411
Name:AU FLIEGNER, MACY (MD)
Entity type:Individual
Prefix:DR
First Name:MACY
Middle Name:
Last Name:AU FLIEGNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36475 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1971
Mailing Address - Country:US
Mailing Address - Phone:734-655-3800
Mailing Address - Fax:734-655-3810
Practice Address - Street 1:36475 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1971
Practice Address - Country:US
Practice Address - Phone:734-655-3800
Practice Address - Fax:734-655-3810
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088885208600000X, 2086H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative Medicine
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty