Healthcare Provider Details

I. General information

NPI: 1093778920
Provider Name (Legal Business Name): MIHAELA SESCIOREANU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MIHAELA BUTCARU MD

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 CROSS CREEK PKWY STE 210B
AUBURN HILLS MI
48326-2776
US

IV. Provider business mailing address

3100 CROSS CREEK PKWY STE 210B
AUBURN HILLS MI
48326-2776
US

V. Phone/Fax

Practice location:
  • Phone: 248-335-1110
  • Fax: 248-335-6129
Mailing address:
  • Phone: 248-335-1110
  • Fax: 248-335-6129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number4301075670
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: