MEDICARE: DR. MICHAEL FALZON 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	4301055169	MI
2	207P00000X	Emergency Medicine Physician	4301055169	MI

General Provider Information

NPI Number	:	1538147079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FALZON M.D.

Provider Business Mailing Address
First Line	:	4201 SAINT ANTOINE ST
Second Line	:	SUITE 3R
City	:	DETROIT
State	:	MI
Zip	:	48201-2153
Country	:	US
Telephone Number	:	313-745-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WILLIAM CARLS DR
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-2201
Country	:	US
Telephone Number	:	248-937-3300
Fax Number	:

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/14/2010

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Directions to “ DR. MICHAEL FALZON M.D.” Practice Location

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