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NPI Code Detail

MEDICARE: DR. MICHAEL JOSEPH HERRIGES JR. MBBS

MEDICARE: DR. MICHAEL JOSEPH HERRIGES JR. MBBS
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
1208000000XPediatrics Physician4301511836MI

General Provider Information

NPI Number : 1679152961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOSEPH HERRIGES JR. MBBS
Provider Business Mailing Address
First Line : 3901 BEAUBIEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 BEAUBIEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2119
Country : US
Telephone Number : 313-745-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 02/05/2026

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