Healthcare Provider Details

I. General information

NPI: 1235928151
Provider Name (Legal Business Name): MEDICAL DIRECTORS CONSULTING PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 ENTERPRISE CT
BLOOMFIELD HILLS MI
48302-1055
US

IV. Provider business mailing address

290 LAKE PARK DR
BIRMINGHAM MI
48009-4606
US

V. Phone/Fax

Practice location:
  • Phone: 248-220-7505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JACK FOLBE
Title or Position: OWNER
Credential: MD
Phone: 248-761-8400