Provider Demographics
NPI:1215937925
Name:SINGER, STANFORD ALVIN (MD)
Entity type:Individual
Prefix:DR
First Name:STANFORD
Middle Name:ALVIN
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36700 WOODWARD AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-0926
Mailing Address - Country:US
Mailing Address - Phone:248-203-6620
Mailing Address - Fax:248-203-0093
Practice Address - Street 1:36700 WOODWARD AVE
Practice Address - Street 2:STE 300
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-0926
Practice Address - Country:US
Practice Address - Phone:248-203-6620
Practice Address - Fax:248-203-0093
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301 025896208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1326062Medicaid
F71167Medicare UPIN
MI1326062Medicaid