Unknown Individual – Anesthesiology Physician, NPI 1629034012

Unknown Individual is a healthcare provider. based in Davisburg, Michigan. specializing in Anesthesiology Physician. They hold a License No. 4704084445 (MI). The NPI Number for Unknown Individual is 1629034012

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629034012
Phone
Not provided
Address
10117 CREEKWOOD TRL
Deactivation Date
30 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 10117 CREEKWOOD TRL

    DAVISBURG, MI 483502059

    Phone:

    Type: Mailing

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    SUITE 220

    BINGHAM FARMS, MI 480254502

    Phone: (248) 258-5058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48350)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1629034012 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Anesthesiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Davisburg, Michigan?
For routing, start with Davisburg, Michigan for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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