MEDICARE: MICHAEL S HAUPERT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YP0228X	Pediatric Otolaryngology Physician	5101010352	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	040E011990	OTHER	MI	BCBS OF MI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124018213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S HAUPERT DO

Provider Business Mailing Address
First Line	:	7001 ORCHARD LAKE RD
Second Line	:	SUITE 320C
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3604
Country	:	US
Telephone Number	:	248-571-3600
Fax Number	:	248-973-8560

Provider Business Practice Location Address
First Line	:	7001 ORCHARD LAKE RD
Second Line	:	SUITE 320C
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3604
Country	:	US
Telephone Number	:	248-571-3600
Fax Number	:	248-973-8560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	05/09/2017

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Directions to “ MICHAEL S HAUPERT DO” Practice Location

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