Healthcare Provider Details
I. General information
NPI: 1568773976
Provider Name (Legal Business Name): MICHELLE AKLER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2010
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2841 MONROE ST 1ST FLOOR
DEARBORN MI
48124
US
IV. Provider business mailing address
6400 INDUSTRIAL LOOP
GREENDALE WI
53129-2452
US
V. Phone/Fax
- Phone: 888-914-3937
- Fax: 888-914-3937
- Phone: 414-423-4100
- Fax: 414-423-4134
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
E
AKLER
Title or Position: PRESIDENT
Credential: MD
Phone: 888-914-3937