MEDICARE: MS. IRENE SIGNORI M.D.

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	207R00000X	Internal Medicine Physician	IS050702	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IS050702	OTHER	MI	STATE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336146828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IRENE SIGNORI M.D.

Provider Business Mailing Address
First Line	:	4900 MERCURY DR
Second Line	:	203
City	:	DEARBORN
State	:	MI
Zip	:	48126-2947
Country	:	US
Telephone Number	:	313-323-3101
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 MERCURY DR
Second Line	:	203
City	:	DEARBORN
State	:	MI
Zip	:	48126-2947
Country	:	US
Telephone Number	:	313-323-3101
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/03/2008

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