Provider Demographics
NPI:1649373598
Name:ARONOW, STEFANIE PAIGE (MD)
Entity type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:PAIGE
Last Name:ARONOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:PAIGE
Other - Last Name:POLSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 KENNESAW ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-5724
Mailing Address - Country:US
Mailing Address - Phone:734-904-1410
Mailing Address - Fax:248-278-4799
Practice Address - Street 1:1011 KENNESAW ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-5724
Practice Address - Country:US
Practice Address - Phone:248-574-5488
Practice Address - Fax:248-278-4799
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086371208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
20-1711014OtherTRICARE
MI7346282OtherPPOM
MI7346282OtherAETNA
MIHAPOtherH34825
MI4905514Medicaid
MIMIDWEST HP-MEDICAIDOther024916
0H11422OtherBCBS/BCN GROUP
3508143361OtherBS-INDIVIDUAL
MI7346282OtherPPOM