| Jefrey Fishman, M.d. P.c. | |
|
1777 Axtell Dr Ste 200 Troy MI 48084-4435 | |
| (248) 643-7374 | |
| (248) 643-4715 |
| Full Name | Jefrey Fishman, M.d. P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1777 Axtell Dr Ste 200, Troy, Michigan |
| Authorized Official Name and Position | Jefrey Ralph-alan Fishman (OWNER/PHYSICAN) |
| Authorized Official Contact | 2486437374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefrey Fishman, M.d. P.c. 1777 Axtell Dr Ste 200 Troy MI 48084-4435 Ph: (248) 643-7374 | Jefrey Fishman, M.d. P.c. 1777 Axtell Dr Ste 200 Troy MI 48084-4435 Ph: (248) 643-7374 |
| NPI Number | 1932376993 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/15/2008 |
| Medicare PECOS PAC ID | 3072685254 |
|---|---|
| Medicare Enrollment ID | O20080703000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932376993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jefrey Ralph Alan Fishman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144238593 PECOS PAC ID: 5991877177 Enrollment ID: I20080703000030 |
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