MEDICARE: MURRAY B LEVIN 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	207R00000X	Internal Medicine Physician	4301021330	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1166351151	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1285633495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURRAY B LEVIN M.D.

Provider Business Mailing Address
First Line	:	2520 S TELEGRAPH RD
Second Line	:	SUITE 102B
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0285
Country	:	US
Telephone Number	:	248-333-7063
Fax Number	:	248-333-0915

Provider Business Practice Location Address
First Line	:	2520 S TELEGRAPH RD
Second Line	:	SUITE 102B
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0285
Country	:	US
Telephone Number	:	248-333-7063
Fax Number	:	248-333-0915

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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