Provider Demographics
NPI:1881709384
Name:BLOOMFIELD HAND SPECIALISTS, P.C.
Entity type:Organization
Organization Name:BLOOMFIELD HAND SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-650-5300
Mailing Address - Street 1:1349 S ROCHESTER RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-3150
Mailing Address - Country:US
Mailing Address - Phone:248-650-5300
Mailing Address - Fax:248-650-5302
Practice Address - Street 1:1349 S ROCHESTER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-3150
Practice Address - Country:US
Practice Address - Phone:248-650-5300
Practice Address - Fax:248-650-5302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N98590Medicare PIN
MI0266060002Medicare NSC
MI0N98590Medicare ID - Type Unspecified