MEDICARE: JANICE M. DEMARAY D.O.

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	207P00000X	Emergency Medicine Physician	5101011130	MI

General Provider Information

NPI Number	:	1336183078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE M. DEMARAY D.O.

Provider Business Mailing Address
First Line	:	18161 W 13 MILE RD
Second Line	:	SUITE A-2
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1266 WALTON BLVD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6900
Country	:	US
Telephone Number	:	248-710-2900
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	01/31/2025

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