Healthcare Provider Details

I. General information

NPI: 1053574632
Provider Name (Legal Business Name): MARYJO VOELPEL DO FACOI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 S BALDWIN RD STE A
ORION MI
48359-2358
US

IV. Provider business mailing address

3003 S BALDWIN RD STE A
ORION MI
48359-2358
US

V. Phone/Fax

Practice location:
  • Phone: 248-391-9220
  • Fax:
Mailing address:
  • Phone: 248-391-9220
  • Fax: 248-391-9224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMV006984
License Number StateMI

VIII. Authorized Official

Name: DR. MARY JO K VOELPEL
Title or Position: PRESIDENT
Credential: DO
Phone: 248-391-9220