Healthcare Provider Details

I. General information

NPI: 1649373598
Provider Name (Legal Business Name): STEFANIE PAIGE ARONOW M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEFANIE PAIGE POLSKY

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/19/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 KENNESAW ST
BIRMINGHAM MI
48009-5724
US

IV. Provider business mailing address

1011 KENNESAW ST
BIRMINGHAM MI
48009-5724
US

V. Phone/Fax

Practice location:
  • Phone: 248-574-5488
  • Fax: 248-278-4799
Mailing address:
  • Phone: 734-904-1410
  • Fax: 248-278-4799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301086371
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: