MEDICARE: DR. MICHAEL NAEIM HENEIN M.D.

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	208C00000X	Colon & Rectal Surgery Physician	061311	MI
2	208600000X	Surgery Physician	061311	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275620635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL NAEIM HENEIN M.D.

Provider Business Mailing Address
First Line	:	75 BARCLAY CIRCLE
Second Line	:	SUITE 118
City	:	ROCHESTER
State	:	MI
Zip	:	48307
Country	:	US
Telephone Number	:	248-312-9300
Fax Number	:	586-776-8410

Provider Business Practice Location Address
First Line	:	75 BARCLAY CIR STE 118
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5803
Country	:	US
Telephone Number	:	248-312-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	04/24/2024

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