Provider Demographics
NPI:1174609945
Name:MICHAEL S FINN PC
Entity type:Organization
Organization Name:MICHAEL S FINN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-762-0701
Mailing Address - Street 1:PO BOX 1048
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48376-1048
Mailing Address - Country:US
Mailing Address - Phone:248-349-1740
Mailing Address - Fax:248-349-1741
Practice Address - Street 1:23985 NOVI RD
Practice Address - Street 2:B-104
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5436
Practice Address - Country:US
Practice Address - Phone:248-912-0080
Practice Address - Fax:248-912-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X
MI6301006128103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI680H23041OtherBLUE CROSS BLUE SHIELD
MI0P25400Medicare PIN