Healthcare Provider Details

I. General information

NPI: 1669464434
Provider Name (Legal Business Name): RICHARD M SINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22731 NEWMAN ST SUITE 100A
DEARBORN MI
48124-2034
US

IV. Provider business mailing address

11012 E 13 MILE RD STE 112
WARREN MI
48093-2546
US

V. Phone/Fax

Practice location:
  • Phone: 313-561-4910
  • Fax: 313-561-8561
Mailing address:
  • Phone: 586-582-0864
  • Fax: 586-582-0964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number4301041095
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: