NPI 1003886342

Jefferey E Michaelson, MD

Practitioner Orthopaedic Surgery Physician Southfield, MI

Practice location

Address: 22250 Providence Dr Suite 401, Southfield, MI 48075-4825
Phone: (866) 974-2673
Fax: (866) 939-2673
Mailing address: 18444 N 25th Ave STE 310, Phoenix, AZ 85023-1261

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 4301066261 (MI)

Other Orthopaedic Surgery providers in Michigan →

Registry record

NPI: 1003886342
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2006
Record last updated: 17 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.