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JEFREY FISHMAN M.D. P.C. NPI 1932376993


NPI Information

NPI: 1932376993
Provider Name: JEFREY FISHMAN, M.D. P.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1777 AXTELL DR STE 200
TROY, MI
ZIP 48084
Phone: (248) 643-7374
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JEFREY FISHMAN, M.D. P.C. is a clinic center in Troy, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JEFREY FISHMAN, M.D. P.C. NPI is 1932376993. The provider is registered as an organization entity type.

The provider's business location address is:

1777 AXTELL DR STE 200
TROY, MI
ZIP 48084-435
Phone: (248) 643-7374
Fax: (248) 643-4715

The provider's authorized official is Jefrey Ralph-alan Fishman .
The authorized official title is Owner/physican and has the following contact phone number (248) 643-7374.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F01721MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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