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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 Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for MICHIGAN MOBILE MEDICINE, PLLC

NPI # 1962220053
LBN Legal business name MICHIGAN MOBILE MEDICINE, PLLC
Authorized official DIEGO HERNANDEZ - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2024
Last updated 09/28/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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