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NPI Code Detail

MEDICARE: DONALD M BIRCH MD PC

MEDICARE: DONALD M BIRCH MD PC
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
1207RH0003XHematology & Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10630535OTHERMIBS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3DB032540OTHERMILICENSE NUMBER

General Provider Information

NPI Number : 1407161508
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD M BIRCH MD PC
Provider Business Mailing Address
First Line : 330 W TIENKEN RD
Second Line : SUITE C
City : ROCHESTER HILLS
State : MI
Zip : 48306-4474
Country : US
Telephone Number : 248-651-2640
Fax Number : 248-651-2543
Provider Business Practice Location Address
First Line : 330 W TIENKEN RD
Second Line : SUITE C
City : ROCHESTER HILLS
State : MI
Zip : 48306-4474
Country : US
Telephone Number : 248-651-2640
Fax Number : 248-651-2543
Authorized Official
Title or Position : PHYSICIAN
Name : MR. DONALD M BIRCH
Credential : MD
Telephone Number : 248-651-2640
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/12/2010

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