Healthcare Provider Details

I. General information

NPI: 1972672103
Provider Name (Legal Business Name): ARTHUR A EFROS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28625 NORTHWESTERN HWY SUITE 213
SOUTHFIELD MI
48034-1828
US

IV. Provider business mailing address

28625 NORTHWESTERN HWY SUITE 213
SOUTHFIELD MI
48034-1828
US

V. Phone/Fax

Practice location:
  • Phone: 248-354-9666
  • Fax: 248-354-6159
Mailing address:
  • Phone: 248-354-9666
  • Fax: 248-354-6159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number4301040008
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: