Israel, Michael Robert

Israel, Michael Robert is an individual health care provider with primary practice located at 18181 Oakwood Blvd Ste 212 , Dearborn MI 48124-5031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Israel, Michael Robert can be contacted via phone (313) 438-7397.

Contact Information

Primary practice address
18181 Oakwood Blvd Ste 212 Dearborn MI 48124-5031
Phone: (313) 438-7397
Fax: (313) 438-7398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301044171 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301044171 Michigan

Profile Details

NPI number 1245203454
LBN Legal business name Israel, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245203454 NPPES
Michigan Other 020H263670 BCBSM GROUP PIN#
Michigan Other 02-0822061-1 BCBSM GROUP PIN#
Michigan MEDICAID 4235319 BCBSM GROUP PIN#
Michigan Other B9840 BCBSM GROUP PIN#

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