Dr Conrad A Proctor, MD is a
Otolaryngology physician based in Auburn Hills, Michigan. Dr Conrad A Proctor is licensed to practice in Michigan (license number 4301023795) and his current practice location is 2251 N Squirrel Rd, Suite 105, Auburn Hills, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 648-8100.
NPI number for Dr Conrad A Proctor is 1841271624 and his current mailing address is 2251 N Squirrel Rd, Suite 105, Auburn Hills, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841271624.
Physician's Profile
Full Name | Dr Conrad A Proctor |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 2251 N Squirrel Rd, Auburn Hills, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841271624
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 09/26/2011
Medical Identifiers
Medical identifiers for Dr Conrad A Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841271624 | NPI | - | NPPES |
040637019 | Other | | BCBSM |
4354759 TYPE 10 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 4301023795 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Conrad A Proctor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Conrad A Proctor, MD 2251 N Squirrel Rd, Suite 105, Auburn Hills, MI 48326-4600 Ph: (248) 648-8100 | Dr Conrad A Proctor, MD 2251 N Squirrel Rd, Suite 105, Auburn Hills, MI 48326-4600 Ph: (248) 648-8100 |
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