MEDICARE: MIGUELANGELO PEREZ CRUET MD

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	174400000X	Specialist	4301082604	MI
2	207T00000X	Neurological Surgery Physician	4301082604	MI

General Provider Information

NPI Number	:	1841287463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUELANGELO PEREZ CRUET MD

Provider Business Mailing Address
First Line	:	5220 HIGHLAND RD STE 210
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1973
Country	:	US
Telephone Number	:	248-383-1030
Fax Number	:	248-383-1031

Provider Business Practice Location Address
First Line	:	5220 HIGHLAND RD STE 210
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1973
Country	:	US
Telephone Number	:	248-383-1030
Fax Number	:	248-383-1031

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	01/20/2026

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