Provider Demographics
NPI:1215915350
Name:MASER, MICHAEL H (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:MASER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 HASLETT RD
Mailing Address - Street 2:
Mailing Address - City:HASLETT
Mailing Address - State:MI
Mailing Address - Zip Code:48840-7615
Mailing Address - Country:US
Mailing Address - Phone:517-853-5576
Mailing Address - Fax:517-853-5577
Practice Address - Street 1:1650 HASLETT RD
Practice Address - Street 2:
Practice Address - City:HASLETT
Practice Address - State:MI
Practice Address - Zip Code:48840-7615
Practice Address - Country:US
Practice Address - Phone:517-339-3200
Practice Address - Fax:517-339-4321
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010437207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4338301OtherAETNA
MI4338301OtherAETNA
MIOC36084041Medicare PIN