Dr. Michael Song, MD
Anesthesiology in Southfield, MI. Individual provider (NPI-1).
NPI number1609024082
StatusActive
Last updated in NPPESMay 8, 2014
Details
- NPI
- 1609024082
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Song
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2008
- Last updated
- May 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 4301104433 | MI | Yes |
| 207R00000X | Internal Medicine | 237361 | MA |
Practice location
16001 W 9 Mile RdSouthfield, MI 48075-4818
Phone 248-849-3000
Mailing address
2158 Melrose AveAnn Arbor, MI 48104-4068
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