NPI Code Detail JSON Logo

1578637187 NPI number — TERESA S. BIRKMEIER-FREDAL M.D.

NPI Number: 1578637187
Health Care Provider/Practitioner: TERESA S. BIRKMEIER-FREDAL M.D.

Information about “1578637187” NPI (TERESA S. BIRKMEIER-FREDAL M.D.) exists in 1578637187 in HTML format HTML  |  1578637187 in plain Text format TXT  |  1578637187 in PDF (Portable Document Format) PDF  |  1578637187 in an XML format XML  formats.

NPI Number : 1578637187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578637187",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BIRKMEIER-FREDAL",
    "FirstName": "TERESA",
    "MiddleName": "S.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "245 BARCLAY CIR",
    "SecondLineMailingAddress": "SUITE 600",
    "MailingAddressCityName": "ROCHESTER HILLS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48307-5815",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-289-6349",
    "MailingAddressFaxNumber": "248-289-6923",
    "FirstLinePracticeLocationAddress": "245 BARCLAY CIR",
    "SecondLinePracticeLocationAddress": "SUITE 600",
    "PracticeLocationAddressCityName": "ROCHESTER HILLS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48307-5815",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-289-6349",
    "PracticeLocationAddressFaxNumber": "248-289-6923",
    "EnumerationDate": "11/17/2006",
    "LastUpdateDate": "03/23/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "4301074918",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.