Provider Demographics
NPI:1962575704
Name:JANET M. SCHLAFF M.D. P.L.L.C.
Entity type:Organization
Organization Name:JANET M. SCHLAFF M.D. P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHLAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-712-3733
Mailing Address - Street 1:PO BOX 130527
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48113-0527
Mailing Address - Country:US
Mailing Address - Phone:734-712-3733
Mailing Address - Fax:734-712-2719
Practice Address - Street 1:5301 MCAULEY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-3733
Practice Address - Fax:734-712-2719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301055112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4405473Medicaid
MIE50132Medicare UPIN
MI4405473Medicaid