Provider Demographics
NPI:1871577544
Name:MARGOLIS, JEFFREY H (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:H
Last Name:MARGOLIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27301 DEQUINDRE RD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3473
Mailing Address - Country:US
Mailing Address - Phone:248-399-4400
Mailing Address - Fax:248-399-4840
Practice Address - Street 1:27301 DEQUINDRE RD
Practice Address - Street 2:SUITE314
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3473
Practice Address - Country:US
Practice Address - Phone:248-399-4400
Practice Address - Fax:248-399-4840
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075311207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1871577544Medicaid
MI0633727OtherBCBS INDIVIDUAL
MI700H217350OtherBLUE SHIELD
MI1871577544Medicaid
MI0M92440013Medicare PIN