Healthcare Provider Details

I. General information

NPI: 1972605707
Provider Name (Legal Business Name): MD HOUSE CALLS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27760 FRANKLIN RD
SOUTHFIELD MI
48034-2300
US

IV. Provider business mailing address

1600 KILBURN RD N
ROCHESTER HILLS MI
48306-3027
US

V. Phone/Fax

Practice location:
  • Phone: 586-530-8598
  • Fax:
Mailing address:
  • Phone: 586-530-8598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number4301061154
License Number StateMI

VIII. Authorized Official

Name: DR. EDWIN S STONE II
Title or Position: CEO
Credential: M.D.
Phone: 586-530-8598