MEDICARE: DR. STEVEN JAY FRIEDMAN 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	207V00000X	Obstetrics & Gynecology Physician	5101010251	MI

General Provider Information

NPI Number	:	1801883145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JAY FRIEDMAN D.O.

Provider Business Mailing Address
First Line	:	8906 COMMERCE RD
Second Line	:	SUITE 3
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-4484
Country	:	US
Telephone Number	:	248-360-1770
Fax Number	:	248-360-1950

Provider Business Practice Location Address
First Line	:	8906 COMMERCE RD
Second Line	:	SUITE 3
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-4484
Country	:	US
Telephone Number	:	248-360-1770
Fax Number	:	248-360-1950

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	08/18/2007

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