Healthcare Provider Details

I. General information

NPI: 1831419225
Provider Name (Legal Business Name): MICHAEL J SCHENDEN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WEST BIG BEAVER RD SUITE 1130
TROY MI
48084
US

IV. Provider business mailing address

201 WEST BIG BEAVER RD SUITE 1130
TROY MI
48084
US

V. Phone/Fax

Practice location:
  • Phone: 248-524-0620
  • Fax: 248-524-0934
Mailing address:
  • Phone: 248-524-0620
  • Fax: 248-524-0934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number4301046014
License Number StateMI

VIII. Authorized Official

Name: MRS. MARGARET N RANDALL
Title or Position: OFFICE MANAGER
Credential:
Phone: 248-524-0620