Search › Michigan › 207Q00000X
Jeffrey Provizer, DO
NPI 1316931405 · on the registry since 2005
Practice
- Address
- 32255 Northwestern Hwy Ste 130
Farmington Hills, MI 48334 - Phone
- (248) 723-5880
- Fax
- (248) 723-5889
- Organisation at this address
- Mmg 1 Pc
Mmg 1 Pc
Mhp Pharmacy Llc
Dr Miriam Zuroff
Vartanian Medical PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 78
Additional practice sites
- 620 N Pontiac Trl, Walled Lake, MI
- 4123 Martin Rd Ste 102, Commerce Twp, MI
- 620 N Pontiac Trl, Walled Lake, MI
- 620 N Pontiac Trl, Walled Lake, MI
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan