Provider Demographics
NPI:1023203411
Name:ASCHERL, STEPHEN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:ASCHERL
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 1:2375 NEWPORT RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2262
Mailing Address - Country:US
Mailing Address - Phone:734-327-0649
Mailing Address - Fax:734-327-0649
Practice Address - Street 1:2375 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2262
Practice Address - Country:US
Practice Address - Phone:734-327-0649
Practice Address - Fax:734-327-0649
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL5826752085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICA5300OtherMEDICARE RR GROUP PIN
MICC3460OtherMEDICARE RR GROUP PIN
MICC3460OtherMEDICARE RR GROUP PIN
MI0P41100Medicare PIN