National Provider Identifier Database

MICHIGAN MOBILE MEDICINE PLLC
Wound Care


Contact Information

MICHIGAN MOBILE MEDICINE, PLLC
43700 WOODWARD AVE STE 207
BLOOMFIELD HILLS, MI48302-5061
Phone: 248-481-2100
Fax: 248-359-8750
Website:
Specialty Taxonomy Code
* Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for MICHIGAN MOBILE MEDICINE, PLLC

NPI Number 1962220053
Legal business name
LBN
MICHIGAN MOBILE MEDICINE, PLLC
Authorized official DIEGO HERNANDEZ - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/28/2024
Last updated 09/28/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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