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Contact Information

JAY IDLER
3601 W 13 MILE RD
ROYAL OAK, MI48073-6712
 Phone: 248-898-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JAY IDLER · (Male)

NPI # 1538556501
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2015
Last updated 08/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301116870
  • PA License # MD475987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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