Stig E Aronsson, MD
Individual provider Active NPI Internal Medicine Physician · Berkley, MI
NPI 1508880428 · NPPES record last updated Sep 13, 2012
Key facts
- NPI
- 1508880428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301405984 (MI)
- Practice address
- 1695 W 12 Mile Road
Suite 200
Berkley, MI 48072-2100 - Phone
- (248) 548-9090
- Fax
- (248) 548-8462
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301405984 | MI | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301405984 | MI | Yes |
Addresses
Primary practice location
1695 W 12 Mile Road
Suite 200
Berkley, MI 48072-2100
Mailing address
1695 W 12 Mile Road
Suite 200
Berkley, MI 48072-2100
Phone (248) 548-9090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2819730 | Medicaid | MI |
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All providers in Berkley, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.