Provider Demographics
NPI:1306078415
Name:JOHN H. FINLEY D.O. & ASSOC P.C.
Entity type:Organization
Organization Name:JOHN H. FINLEY D.O. & ASSOC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:248-642-5444
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-0266
Mailing Address - Country:US
Mailing Address - Phone:248-642-5444
Mailing Address - Fax:248-642-5447
Practice Address - Street 1:29877 TELEGRAPH RD
Practice Address - Street 2:SUITE 304
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1332
Practice Address - Country:US
Practice Address - Phone:248-642-5444
Practice Address - Fax:248-642-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-23
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJF004222208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI9630021OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI1140955Medicaid
MI9630021Medicare PIN
MIE39811Medicare UPIN