MEDICARE: MI HEALTHCCARE PROFESSIONALS 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
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700F315320	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1871768176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MI HEALTHCCARE PROFESSIONALS PC

Provider Business Mailing Address
First Line	:	29992 NORTHWESTERN HWY
Second Line	:	SUITE C
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3292
Country	:	US
Telephone Number	:	248-851-1430
Fax Number	:	248-851-5182

Provider Business Practice Location Address
First Line	:	633 SOUTH BLVD E STE 1200
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5364
Country	:	US
Telephone Number	:	248-844-6000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFREY MARGOLIS
Credential	:	M.D.
Telephone Number	:	248-851-1430

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	09/21/2022

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Directions to “MI HEALTHCCARE PROFESSIONALS PC ” Practice Location

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