MEDICARE: DR. PAUL D. WORK 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	207Q00000X	Family Medicine Physician	5101006674	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801909403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL D. WORK D.O.

Provider Business Mailing Address
First Line	:	25900 GREENFIELD RD
Second Line	:	STE 415
City	:	OAK PARK
State	:	MI
Zip	:	48237-1267
Country	:	US
Telephone Number	:	248-338-5516
Fax Number	:	248-338-5547

Provider Business Practice Location Address
First Line	:	2240 N OPDYKE RD
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2435
Country	:	US
Telephone Number	:	248-373-7554
Fax Number	:	248-373-8298

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	10/27/2016

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