Healthcare Provider Details

I. General information

NPI: 1013126374
Provider Name (Legal Business Name): LAINA FEINSTEIN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29829 TELEGRAPH RD SUITE 107
SOUTHFIELD MI
48034-1330
US

IV. Provider business mailing address

29829 TELEGRAPH RD SUITE 107
SOUTHFIELD MI
48034-1330
US

V. Phone/Fax

Practice location:
  • Phone: 248-304-0786
  • Fax: 248-354-8559
Mailing address:
  • Phone: 248-304-0786
  • Fax: 248-354-8559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLF060074
License Number StateMI

VIII. Authorized Official

Name: LAINA FEINSTEIN
Title or Position: OWNER
Credential: MD
Phone: 248-304-0786