Basic Information
Provider Information
NPI: 1245316090
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINKELSTEIN
FirstName: CLAUDIA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 804 SERVICE RD STE A109F
Address2:  
City: EAST LANSING
State: MI
PostalCode: 488247015
CountryCode: US
TelephoneNumber: 5178842976
FaxNumber: 5174323928
Practice Location
Address1: 804 SERVICE RD STE A142
Address2:  
City: EAST LANSING
State: MI
PostalCode: 48824
CountryCode: US
TelephoneNumber: 5173533050
FaxNumber: 5174323742
Other Information
ProviderEnumerationDate: 10/27/2006
LastUpdateDate: 08/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300XMD00034725WAY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

ID Information
IDTypeStateIssuerDescription
124531609005WA MEDICAID
22712001 INTERNAL ID-MOTOR VEHICLE IDOTHER
023097701WAL&IOTHER
124531609005MI MEDICAID
20002190501WARAIL ROAD MEDICAREOTHER


Home