Ban Mechael, Md Pc | |
19930 Farmington Rd Suite A Livonia MI 48152-1433 | |
(248) 476-6209 | |
(248) 476-6237 |
Full Name | Ban Mechael, Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 19930 Farmington Rd, Livonia, Michigan |
Authorized Official Name and Position | Ban Mechael (OWNER) |
Authorized Official Contact | 2484766209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ban Mechael, Md Pc 19930 Farmington Rd Suite A Livonia MI 48152-1433 Ph: (248) 476-6209 | Ban Mechael, Md Pc 19930 Farmington Rd Suite A Livonia MI 48152-1433 Ph: (248) 476-6209 |
NPI Number | 1033301569 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 08/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033301569 | NPI | - | NPPES |
4409310 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301073200 (Michigan) | Primary |
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