MEDICARE: DR. MICHAEL H FLOREK 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
1	207Q00000X	Family Medicine Physician	5101013965	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

General Provider Information

NPI Number	:	1750307443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL H FLOREK D.O.

Provider Business Mailing Address
First Line	:	850 N CENTER AVE
Second Line	:	SUITE 1
City	:	GAYLORD
State	:	MI
Zip	:	49735-1682
Country	:	US
Telephone Number	:	989-731-7708
Fax Number	:	989-731-7929

Provider Business Practice Location Address
First Line	:	3696 S STRAITS HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749-5136
Country	:	US
Telephone Number	:	231-238-0581
Fax Number	:	231-238-0586

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	10/07/2024

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