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NPI Code Detail

MEDICARE: DR. MICHAEL JOSEPH CHRISTOFIS D.O.

MEDICARE: DR. MICHAEL JOSEPH CHRISTOFIS D.O.
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
1208600000XSurgery Physician5101026691MI

General Provider Information

NPI Number : 1710337878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOSEPH CHRISTOFIS D.O.
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD STE 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44199 DEQUINDRE ROAD
Second Line :
City : TROY
State : MI
Zip : 48085
Country : US
Telephone Number : 248-964-1170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 02/17/2026

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