MEDICARE: MICHIGAN TELEMEDICINE ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1275295321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHIGAN TELEMEDICINE ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	750 LEXINGTON AVE FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-9847
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2957 BLOOMFIELD PARK DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-3508
Country	:	US
Telephone Number	:	866-411-0254
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	ARNOLD SAPERSTEIN
Credential	:
Telephone Number	:	516-859-2281

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	02/09/2026

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