Healthcare Provider Details

I. General information

NPI: 1407161508
Provider Name (Legal Business Name): DONALD M BIRCH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 08/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W TIENKEN RD SUITE C
ROCHESTER HILLS MI
48306-4474
US

IV. Provider business mailing address

330 W TIENKEN RD SUITE C
ROCHESTER HILLS MI
48306-4474
US

V. Phone/Fax

Practice location:
  • Phone: 248-651-2640
  • Fax: 248-651-2543
Mailing address:
  • Phone: 248-651-2640
  • Fax: 248-651-2543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DONALD M BIRCH
Title or Position: PHYSICIAN
Credential: MD
Phone: 248-651-2640